Detailed Description
the applicant of the present application owns the following patent applications filed 2013, 3, month 1, each of which is incorporated herein by reference in its entirety:
U.S. patent application Ser. No. 13/782,295 entitled "Integrated Surgical Instruments With reduced Pathways For Signal Communication";
-U.S. patent application serial No. 13/782,323 entitled "rolling power apparatus vibration FOR basic INSTRUMENTS";
-U.S. patent application Ser. No. 13/782,338 entitled "THUMBWHEEL SWITCH ARRANGEMENTS FOR SURGICAL INSTRUMENTS";
-U.S. patent application serial No. 13/782,499 entitled "ELECTROMECHANICAL SURGICAL DEVICE WITH SIGNAL RELAY ARRANGEMENT";
U.S. patent application Ser. No. 13/782,460 entitled "Multiple Processor Motor Control for Module SURGICAL INSTRUMENTS";
U.S. patent application Ser. No. 13/782,358 entitled "JOYSTICK SWITCH ASSEMBLIES FOR SURGICAL INSTRUMENTS";
-U.S. patent application Ser. No. 13/782,481 entitled "SENSOR STRAIGHTENED END EFFECTOR DURING REMOVAL THROUGH TROCAR";
U.S. patent application Ser. No. 13/782,518 entitled "Control Methods for scientific Instruments with Removable implementation procedures";
U.S. patent application Ser. No. 13/782,375 entitled "Rolling Power weighted accumulation INSTRUMENTS WITH MULTIPLE layers OF FREEDOM"; and
U.S. patent application Ser. No. 13/782,536 entitled "Surgical Instrument Soft Stop," which is hereby incorporated by reference in its entirety.
the applicant of the present application also owns the following patent applications filed on 3,14, 2013, and each of which is herein incorporated by reference in its entirety:
-U.S. patent application Ser. No. 13/803,097 entitled "ARTICULATABLE SURGICAL INSTRUMENT COMPRISING A FIRING DRIVE";
U.S. patent application Ser. No. 13/803,193 entitled "CONTROL ARRANGEMENTS FOR A DRIVE MEMBER OF A SURGICAL INSTRUMENT";
-U.S. patent application Ser. No. 13/803,053 entitled "INTERCHANGEABLE SHAFT ASSEMBLIES FOR USE WITH A SURGICAL INSTRUMENT";
-U.S. patent application Ser. No. 13/803,086 entitled "ARTICULATABLE SURGICAL INSTRUMENT COMPLIMENTING AN ARTICULATION LOCK";
-U.S. patent application Ser. No. 13/803,210 entitled "SENSOR ARRANGEMENTS FOR ABSOLUTE POSITIONING SYSTEM FOR SURGICAL INSTRUMENTS";
-U.S. patent application Ser. No. 13/803,148 entitled "Multi-functional Motor FOR A SURGICAL INSTRUMENT";
-U.S. patent application Ser. No. 13/803,066 entitled "DRIVE SYSTEM LOCKOUT ARRANGEMENTS FOR MODULAR SURGICAL INSTRUMENTS";
U.S. patent application Ser. No. 13/803,117 entitled "ARTICULATION CONTROL FOR ARTICULATED SURGICAL INSTRUMENTS";
-U.S. patent application Ser. No. 13/803,130 entitled "DRIVE TRAIN CONTROL ARRANGEMENTS FOR MODULAR SURGICAL INSTRUMENTS"; and
U.S. patent application Ser. No. 13/803,159 entitled "METHOD AND SYSTEM FOR OPERATING A SURGICAL INSTRUMENT".
The applicant of the present application also owns the following patent applications, filed on the same day as the present application, each of which is incorporated herein by reference in its entirety:
U.S. patent application Ser. No. _______________ entitled "SURGICAL INSTRUMENT COMPRISING A SENSOR SYSTEM" (attorney docket number END7386 USNP/130458);
U.S. patent application Ser. No. _______________ entitled "POWER MANAGEMENT CONTROL SYSTEM FOR SURGICAL INSTRUMENTS" (attorney docket No. END7387 USNP/130459);
U.S. patent application Ser. No. _______________ entitled "STERILIZATION VERIFICATION CICUIT" (attorney docket number END7388 USNP/130460);
U.S. patent application Ser. No. _______________ entitled "VERIFICATION OF NUMBER OF BATTERY EXCHANGES/PROCEDURE COUNT" (attorney docket NUMBER END7389 USNP/130461);
U.S. patent application Ser. No. _______________ entitled "POWER MANAGEMENT THROUGH SLOW OPTIONS OF SEGMENTED CIRCUIT AND WAKE UP CONTROL" (attorney docket number END7390 USNP/130462);
U.S. patent application Ser. No. _______________ entitled "FEEDBACK ALGORITHMS FOR MANUAL BAILOUT SYSTEMS FOR SURGICAL INSTRUMENTS" (attorney docket No. END7392 USNP/130464);
U.S. patent application Ser. No. _______________ entitled "SURGICAL INSTRUMENT UTILIZING SENSOR ADAPTATION" (attorney docket No. END7393 USNP/130465);
U.S. patent application Ser. No. _______________ entitled "SURGICAL INSTRUMENT CONTROL CIRCUIT HAVING A SAFETY PROCESSOR" (attorney docket number END7394 USNP/130466);
U.S. patent application Ser. No. _______________ entitled "SURGICAL INSTRUMENT COMPRISING INTERACTIVE SYSTEMS" (attorney docket number END7395 USNP/130467);
U.S. patent application Ser. No. _______________ entitled "INTERFACE SYSTEMS FOR USE WITH SURGICAL INSTRUMENTS" (attorney docket number END7396 USNP/130468);
U.S. patent application Ser. No. _______________ entitled "MODULAR SURGICAL INSTRUMENTS SYSTEM" (attorney docket No. END7397 USNP/130469);
U.S. patent application Ser. No. _______________ entitled "SYSTEMS AND METHODS FOR CONTROLLING A SEGMENTED CIRCUIT" (attorney docket number END7399 USNP/130471);
U.S. patent application Ser. No. _______________ entitled "POWER MANAGEMENT THROUGH SEGMENTED CIRCUIT AND VARIABLE VOLTAGE PROTECTION" (attorney docket number END7400 USNP/130472);
U.S. patent application Ser. No. _______________ entitled "SURGICAL STAPLING INSTRUMENTT SYSTEM" (attorney docket number END7401 USNP/130473); and
U.S. patent application Ser. No. _______________ entitled "SURGICAL INSTRUMENT COMPRISING A ROTATABLE SHAFT" (attorney docket number END7402 USNP/130474).
Certain exemplary embodiments will now be described to provide an overall understanding of the principles of the structure, function, manufacture, and use of the devices and methods disclosed herein. One or more examples of these embodiments are illustrated in the accompanying drawings. It is understood by those of ordinary skill in the art that the devices and methods specifically described herein and illustrated by the accompanying drawings are non-limiting exemplary embodiments. The features illustrated or described in connection with one exemplary embodiment may be combined with the features of other embodiments. Such modifications and variations are intended to be included within the scope of the present invention.
reference throughout this specification to "various embodiments," "some embodiments," or "one embodiment," or the like, means that a particular feature, structure, or characteristic described in connection with the embodiment is included in at least one embodiment. Thus, appearances of the phrases "in various embodiments," "in some embodiments," or "in one embodiment," or the like, throughout this specification are not necessarily all referring to the same embodiment. Furthermore, the particular features, structures, or characteristics may be combined in any suitable manner in one or more embodiments. Thus, the particular features, structures, or characteristics shown or described in connection with one embodiment may be combined, in whole or in part, with the features, structures, or characteristics of one or more other embodiments, without limitation. Such modifications and variations are intended to be included within the scope of the present invention.
The terms "proximal" and "distal" are used herein with respect to a clinician manipulating a handle portion of a surgical instrument. The term "proximal" refers to the portion closest to the clinician and the term "distal" refers to the portion located away from the clinician. It will also be appreciated that for simplicity and clarity, spatial terms such as "vertical," "horizontal," "upper," and "lower" may be used herein in connection with the accompanying drawings. However, surgical instruments are used in many orientations and positions, and these terms are not intended to be limiting and/or absolute.
Various exemplary devices and methods are provided for performing laparoscopic and minimally invasive surgical procedures. However, one of ordinary skill in the art will readily appreciate that the various methods and devices disclosed herein may be used in a number of surgical procedures and applications, including, for example, in conjunction with open surgery. With continued reference to the present detailed description, those of ordinary skill in the art will further appreciate that the various instruments disclosed herein may be inserted into the body in any manner, such as through a natural orifice, through an incision or puncture formed in tissue, and the like. The working portion or end effector portion of the instrument may be inserted directly into the patient or may be inserted through an access device having a working channel through which the end effector and elongate shaft of the surgical instrument may be advanced.
Fig. 1-6 illustrate a reusable or non-reusable motor driven surgical cutting and fastening instrument 10. In the illustrated embodiment, the instrument 10 includes a housing 12 including a handle 14 configured to be grasped, manipulated, and actuated by a clinician. The housing 12 is configured for operable attachment to an interchangeable shaft assembly 200 having a surgical end effector 300 operably coupled thereto that is configured to perform one or more surgical tasks or procedures. With continued reference to the present detailed description, it should be understood that the various unique and novel configurations of the various forms of interchangeable shaft assemblies disclosed herein may also be effectively utilized in connection with robotically controlled surgical systems. Thus, the term "housing" may also encompass a housing or similar portion of a robotic system that houses or otherwise operably supports at least one drive system configured to generate and apply at least one control action useful for actuating the interchangeable shaft assemblies disclosed herein and their respective equivalents. The term "frame" may refer to a portion of a hand-held surgical instrument. The term "frame" may also refer to a portion of a robotically-controlled surgical instrument and/or a portion of a robotic system that may be used to operably control a surgical instrument. For example, the interchangeable shaft assemblies disclosed herein may be used WITH various robotic systems, INSTRUMENTS, components, and methods disclosed in U.S. patent application serial No. 13/118,241 (now U.S. patent application publication No. US 2012/0298719), entitled "surgical INSTRUMENTS WITH rotabable stage design. U.S. patent application Ser. No. 13/118,241 (now U.S. patent application publication US 2012/0298719), entitled "SURGICAL STAPLING INSTRUMENTS WITH ROTATABLE STAPLE DEPLOYMENT ARRANGEMENTS," is hereby incorporated by reference in its entirety.
The housing 12 shown in fig. 1-3 is shown in connection with an interchangeable shaft assembly 200 that includes an end effector 300 that includes a surgical cutting and fastening device configured to operably support a surgical staple cartridge 304 therein. Housing 12 may be configured for use with interchangeable shaft assemblies that include end effectors configured to support different sizes and types of staple cartridges, and have different shaft lengths, sizes, types, and the like. In addition, housing 12 may also be effectively used with a variety of other interchangeable shaft assemblies, including those configured to apply other motions and energy forms, such as Radio Frequency (RF) energy, ultrasonic energy, and/or motions, to end effector configurations that may be used in connection with various surgical applications and surgical procedures. Further, the end effector, shaft assembly, handle, surgical instrument, and/or surgical instrument system may utilize any suitable fastener or fasteners to fasten tissue. For example, a fastener cartridge including a plurality of fasteners removably stored therein can be removably inserted into and/or attached to an end effector of a shaft assembly.
fig. 1 illustrates a surgical instrument 10 to which an interchangeable shaft assembly 200 is operably coupled. Fig. 2 and 3 show the interchangeable shaft assembly 200 attached to the housing 12 or handle 14. As can be seen in fig. 4, the handle 14 may include a pair of interconnectable handle housing segments 16 and 18 that may be interconnected by means of screws, snap features, adhesives, and the like. In the illustrated construction, the handle housing segments 16 and 18 cooperate to form a pistol grip portion 19 that can be grasped and manipulated by a clinician. As will be discussed in further detail below, the handle 14 operably supports a plurality of drive systems therein that are configured to generate and apply various control actions to corresponding portions of the interchangeable shaft assembly operably attached thereto.
Referring now to fig. 4, the handle 14 may further include a frame 20 that operably supports a plurality of drive systems. For example, the frame 20 can operably support a "first" or closure drive system, generally designated 30, which can be used to apply closing and opening motions to the interchangeable shaft assembly 200 operably attached or coupled thereto. In at least one form, the closure drive system 30 can include an actuator in the form of a closure trigger 32 pivotally supported by the frame 20. More specifically, as shown in FIG. 4, the closure trigger 32 is pivotally coupled to the housing 14 via a pin 33. This configuration enables the closure trigger 32 to be manipulated by the clinician such that when the clinician grasps the pistol grip portion 19 of the handle 14, the closure trigger 32 can be easily pivoted by it from the starting or "unactuated" position to the "actuated" position, and more specifically, to the fully compressed or fully actuated position. The closure trigger 32 may be biased to an unactuated position by a spring or other biasing structure (not shown). In various forms, the closure drive system 30 also includes a closure link assembly 34 that is pivotally coupled to the closure trigger 32. As can be seen in fig. 4, the closure link assembly 34 may include a first closure link 36 and a second closure link 38 pivotally coupled to the closure trigger 32 by a pin 35. The second closure link 38 may also be referred to herein as an "attachment member" and includes a lateral attachment pin 37.
Still referring to fig. 4, it can be observed that the first closure link 36 can have a locking wall or locking end 39 thereon that is configured to mate with a closure release assembly 60 pivotally coupled to the frame 20. In at least one form, the closure release assembly 60 can include a release button assembly 62 having a distally projecting locking pawl 64 formed thereon. The release button assembly 62 may be pivoted in a counterclockwise direction by a release spring (not shown). When the clinician depresses the closure trigger 32 from its unactuated position toward the pistol grip portion 19 of the handle 14, the first closure link 36 pivots upward to a point where the locking pawl 64 drops into engagement with the locking wall 39 on the first closure link 36, thereby preventing the closure trigger 32 from returning to the unactuated position. See fig. 18. Thus, the closure release assembly 60 helps lock the closure trigger 32 in the fully actuated position. If the clinician desires to unlock the closure trigger 32 to allow it to be biased to the unactuated position, the closure release button assembly 62 simply pivots to move the locking pawl 64 out of engagement with the locking wall 39 on the first closure link 36. After the locking pawl 64 has moved out of engagement with the first closure link 36, the closure trigger 32 may be pivoted back to the unactuated position. Other closure trigger locking and release arrangements may also be employed.
in addition to the above, fig. 13-15 illustrate the closure trigger 32 in an unactuated position associated with an open or unclamped configuration of the shaft assembly 200 in which tissue can be positioned between the jaws of the shaft assembly 200. Fig. 16-18 illustrate the closure trigger 32 in an actuated position associated with a closed or clamped configuration of the shaft assembly 200 with tissue clamped between the jaws of the shaft assembly 200. The reader will appreciate upon comparing fig. 14 with fig. 17 that the closure release button 62 pivots between a first position (fig. 14) and a second position (fig. 17) during movement of the closure trigger 32 from its unactuated position (fig. 14) to its actuated position (fig. 17). Rotation of the closure release button 62 may be referred to as upward rotation, but at least a portion of the closure release button 62 rotates toward the circuit board 100. Referring to fig. 4, the closure release button 62 may include an arm 61 extending therefrom and a magnetic element 63 (such as a permanent magnet) mounted to the arm 61. During rotation of the closure release button 62 from its first position to its second position, the magnetic element 63 may move towards the circuit board 100. The circuit board 100 may include at least one sensor configured to detect movement of the magnetic element 63. In at least one embodiment, for example, the hall effect sensor 65 may be mounted to a bottom surface of the circuit board 100. The hall effect sensor 65 may be configured to detect changes in the magnetic field that occur around the hall effect sensor 65 due to movement of the magnetic element 63. The hall effect sensor 65 may, for example, be in signal communication with a microcontroller 7004 (fig. 59) that can determine whether the closure release button 62 is in its first position associated with the unactuated position of the closure trigger 32 and the open configuration of the end effector, its second position associated with the actuated position of the closure trigger 32 and the closed configuration of the end effector, or any position between the first position and the second position.
in at least one form, the handle 14 and frame 20 can operably support another drive system, referred to herein as a firing drive system 80, that is configured to apply a firing motion to corresponding portions of the interchangeable shaft assembly attached thereto. The firing drive system 80 may also be referred to herein as a "secondary drive system". The firing drive system 80 may employ an electric motor 82 located in the pistol grip portion 19 of the handle 14. In various forms, the motor 82 may be a direct current brushed driving motor, for example, having a maximum rotational speed of about 25,000 RPM. In other arrangements, the motor may comprise a brushless motor, a wireless motor, a synchronous motor, a stepper motor, or any other suitable electric motor. The motor 82 may be powered by a power source 90, which in one form may include a removable power pack 92. As can be seen in fig. 4, for example, the power pack 92 may include a proximal housing portion 94 configured for attachment to a distal housing portion 96. The proximal housing portion 94 and the distal housing portion 96 are configured to operably support a plurality of batteries 98 therein. Batteries 98 may each include, for example, a lithium ion ("LI") battery or other suitable battery. The distal housing portion 96 is configured for removable operable attachment to a control circuit board assembly 100 that is also operably coupled to the motor 82. A plurality of batteries 98, which may be connected in series, may be used as a power source for the surgical instrument 10. Further, the power source 90 may be replaceable and/or rechargeable.
as outlined above with respect to the other various forms, the electric motor 82 may include a rotatable shaft (not shown) operably interfacing with a gear reducer assembly 84 mounted on the longitudinally movable drive member 120 in meshing engagement with the drive teeth 122 of a set or a rack. In use, the polarity of the voltage provided by the power source 90 may operate the electric motor 82 in a clockwise direction, wherein the polarity of the voltage applied by the battery to the electric motor may be reversed to operate the electric motor 82 in a counterclockwise direction. When the electric motor 82 is rotated in one direction, the drive member 120 will be driven axially in the distal direction "DD". When the motor 82 is driven in the opposite rotational direction, the drive member 120 will be driven axially in the proximal direction "PD". The handle 14 may include a switch that may be configured to reverse the polarity that the power source 90 applies to the electric motor 82. As with other versions described herein, the handle 14 may also include a sensor configured to detect the position of the drive member 120 and/or the direction in which the drive member 120 is moving.
actuation of the motor 82 may be controlled by a firing trigger 130 pivotally supported on the handle 14. The firing trigger 130 may be pivotable between an unactuated position and an actuated position. The firing trigger 130 may be biased to an unactuated position by a spring 132 or other biasing configuration such that when the clinician releases the firing trigger 130, the firing trigger may be pivoted to or otherwise returned to the unactuated position by the spring 132 or biasing configuration. In at least one form, the firing trigger 130 can be positioned "outboard" of the closure trigger 32, as discussed above. In at least one form, the firing trigger safety button 134 may be pivotally mounted to the closure trigger 32 by a pin 35. A safety button 134 may be positioned between the firing trigger 130 and the closure trigger 32 and have a pivoting arm 136 protruding therefrom. See fig. 4. With the closure trigger 32 in the unactuated position, the safety button 134 is received within the handle 14, which may not be easily accessible to the clinician or movable between a safety position preventing actuation of the firing trigger 130 and a firing position in which the firing trigger 130 may be fired. When the clinician depresses the closure trigger 32, the safety button 134 and the firing trigger 130 pivot downward and may then be manipulated by the clinician.
As discussed above, the handle 14 may include a closure trigger 32 and a firing trigger 130. Referring to fig. 14-18A, the firing trigger 130 can be pivotally mounted to the closure trigger 32. The closure trigger 32 may include an arm 31 extending therefrom, and the firing trigger 130 may be pivotally mounted to the arm 31 about a pivot pin 33. As outlined above, the firing trigger 130 may descend downwardly during movement of the closure trigger 32 from its unactuated position (FIG. 14) to its actuated position (FIG. 17). After the safety button 134 has been moved to its firing position, referring primarily to FIG. 18A, the firing trigger 130 may be depressed to operate the motor of the surgical instrument firing system. In various instances, the handle 14 can include a tracking system (such as system 800) configured to determine the position of the closure trigger 32 and/or the position of the firing trigger 130. Referring primarily to fig. 14, 17, and 18A, the tracking system 800 may include a magnetic element (such as a permanent magnet 802) mounted to an arm 801 extending from the firing trigger 130. The tracking system 800 may include one or more sensors, such as a first hall effect sensor 803 and a second hall effect sensor 804, which may be configured to track the position of the magnet 802. The reader will appreciate after comparing fig. 14 to fig. 17 that the magnet 802 is movable between a first position adjacent the first hall effect sensor 803 and a second position adjacent the second hall effect sensor 804 during movement of the closure trigger 32 from its unactuated position to its actuated position. As the reader will further appreciate upon comparing FIG. 17 with FIG. 18A, the magnet 802 may move relative to the second Hall effect sensor 804 during movement of the firing trigger 130 from the unfired position (FIG. 17) to the fired position (FIG. 18A). Sensors 803 and 804 may track the movement of magnet 802 and may be in signal communication with a microcontroller on circuit board 100. The microcontroller may utilize data from the first sensor 803 and/or the second sensor 804 to determine the position of the magnet 802 along the predefined path, and may determine whether the closure trigger 32 is in its unactuated position, its actuated position, or a position in between based on the position. Similarly, the microcontroller may utilize data from the first sensor 803 and/or the second sensor 804 to determine the position of the magnet 802 along the predefined path, and may determine whether the firing trigger 130 is in its unfired position, its fully fired position, or a position in between based on that position.
as mentioned above, in at least one form, the longitudinally movable drive member 120 has rack teeth 122 formed thereon for meshing engagement with the corresponding drive gear 86 of the gear reducer assembly 84. At least one form further includes a manually actuatable "panic" assembly 140 configured to allow a clinician to manually retract the longitudinally movable drive member 120 in the event the motor 82 becomes disabled. The panic assembly 140 may include a lever or panic handle assembly 142 configured to be manually pivoted into ratcheting engagement with the teeth 124 also provided in the drive member 120. Thus, the clinician may manually retract the drive member 120 using the emergency handle assembly 142 to ratchet the drive member 120 in the proximal direction "PD". U.S. patent application publication US 2010/0089970 discloses emergency configurations, and other components, configurations, and systems that may also be used with the various instruments disclosed herein. U.S. patent application Ser. No. 12/249,117 (now U.S. patent application publication 2010/0089970), entitled "POWER DSURGICAL CUTTING AND STAPLING APPARATUS WITH MANUALLY RETRACTABLE FIRING SYSTEM," is hereby incorporated by reference in its entirety.
turning now to fig. 1 and 7, the interchangeable shaft assembly 200 includes a surgical end effector 300 that includes an elongate channel 302 configured to operably support a staple cartridge 304 therein. The end effector 300 may also include an anvil 306 that is pivotally supported relative to the elongate channel 302. The interchangeable shaft assembly 200 can further include an articulation joint 270 and an articulation lock 350 (fig. 8) that can be configured to releasably retain the end effector 300 in a desired position relative to the shaft axis SA-SA. Details regarding the construction and operation of end effector 300, ARTICULATION joint 270, and ARTICULATION LOCK 350 are shown in U.S. patent application serial No. 13/803,086 entitled "ARTICULATION joint surgery component on LOCK" filed on 3, 14.2013. The entire disclosure of U.S. patent application serial No. 13/803,086 entitled "article capable of being incorporated into a computer system for carrying out the method of the present invention," filed on 3,14, 2013, is hereby incorporated by reference. As can be seen in fig. 7 and 8, the interchangeable shaft assembly 200 can also include a proximal housing or nozzle 201 comprised of nozzle portions 202 and 203. The interchangeable shaft assembly 200 can also include a closure tube 260 that can be used to close and/or open the anvil 306 of the end effector 300. Referring now primarily to fig. 8 and 9, the shaft assembly 200 may include a ridge 210, which may be configured to fixably support the shaft frame portion 212 of the articulation lock 350. See fig. 8. The ridge 210 may be configured to: first, a firing member 220 is slidably supported therein; second, the closure tube 260, which extends around the spine 210, is slidably supported. The spine 210 may also be configured to slidably support the proximal articulation driver 230. Articulation driver 230 has a distal end 231 configured to operably engage articulation lock 350. The articulation lock 350 interfaces with an articulation frame 352 that is configured to operably engage a drive pin (not shown) on an end effector frame (not shown). As mentioned above, more details regarding the operation of the articulation lock 350 and the articulation frame may be found in U.S. patent application Ser. No. 13/803,086. In various instances, the spine 210 may include a proximal end 211 rotatably supported in the base 240. In one configuration, for example, the proximal end 211 of the spine 210 has threads 214 formed thereon for threaded attachment to a spine bearing 216 configured to be supported within the base 240. See fig. 7. This configuration facilitates rotatably attaching the ridge 210 to the base 240 such that the ridge 210 may be selectively rotated relative to the base 240 about the axis SA-SA.
Referring primarily to FIG. 7, the interchangeable shaft assembly 200 includes a closure shuttle 250 slidably supported within the base 240 in an axially movable manner relative thereto. As can be seen in fig. 3 and 7, the closure shuttle 250 includes a pair of proximally projecting hooks 252 configured for attachment to an attachment pin 37 attached to the second closure link 38, as will be discussed in further detail below. The proximal end 261 of the closure tube 260 is coupled to the closure shuttle 250 for rotation relative thereto. For example, the U-shaped connector 263 is inserted into the annular slot 262 in the proximal end 261 of the closure tube 260 such that it remains within the vertical slot 253 of the closure shuttle 250. See fig. 7. This configuration facilitates attachment of the closure tube 260 to the closure shuttle 250 for axial travel therewith while enabling rotation of the closure tube 260 relative to the closure shuttle 250 about the shaft axis SA-SA. A closure spring 268 is journaled on the closure tube 260 to assist in biasing the closure tube 260 in the proximal direction "PD" and, with the shaft assembly operably coupled to the handle 14, may assist in pivoting the closure trigger to an unactuated position.
in at least one form, the interchangeable shaft assembly 200 can further include an articulation joint 270. However, other interchangeable shaft assemblies may not be able to articulate. As can be seen in fig. 7, for example, the articulation joint 270 includes a dual pivot closure sleeve assembly 271. According to various forms, the double pivot closure sleeve assembly 271 includes an end effector closure sleeve assembly 272 having distally projecting upper and lower tangs 273, 274. End effector closure sleeve assembly 272 includes horseshoe shaped apertures 275 and tabs 276 for engaging the open tabs on anvil 306 in the various manners described in U.S. patent application serial No. 13/803,086 entitled "article closure assembly AN article closure LOCK," filed on 3,14, 2013, which is incorporated herein by reference. With the anvil 306 open, the horseshoe aperture 275 and tab 276 engage the tab on the anvil as described in further detail herein. The upper double pivot link 277 includes upwardly projecting distal and proximal pivot pins that engage upper distal pin holes in the upper proximally projecting tang 273 and upper proximal pin holes in the upper distally projecting tang 264, respectively, on the closure tube 260. The lower double pivot link 278 includes upwardly projecting distal and proximal pivot pins that engage respectively a lower distal pin hole in the proximally projecting inferior tang 274 and a lower proximal pin hole in the distally projecting inferior tang 265. See also fig. 8.
In use, the closure tube 260 is translated distally (direction "DD") to close the anvil 306, for example, in response to actuation of the closure trigger 32. By translating the closure tube 260 distally, and thus the shaft closure sleeve assembly 272, the shaft closure sleeve assembly is caused to impact a proximal surface on the anvil 360, thereby closing the anvil 306, in the manner described in the aforementioned reference U.S. patent application serial No. 13/803,086. As also detailed in this reference, the anvil 306 is opened by translating the closure tube 260 and shaft closure sleeve assembly 272 proximally, causing the tab 276 and horseshoe aperture 275 to contact and push against the anvil tab to lift the anvil 306. In the anvil open position, the shaft closure tube 260 is moved to its proximal position.
As mentioned above, the surgical instrument 10 may also include an articulation lock 350 of the type and configuration described in further detail in U.S. patent application Ser. No. 13/803,086, which may be configured to be operable to selectively lock the end effector 300 in place. This configuration enables the end effector 300 to rotate or articulate relative to the shaft closure tube 260 when the articulation lock 350 is in its unlocked state. In this unlocked state, the end effector 300 may be positioned and urged against, for example, soft tissue and/or bone surrounding a surgical site within a patient to articulate the end effector 300 relative to the closure tube 260. The end effector 300 may also be articulated relative to the closure tube 260 by the articulation driver 230.
also as described above, the interchangeable shaft assembly 200 further includes a firing member 220 that is supported for axial travel within the shaft spine 210. The firing member 220 includes an intermediate firing shaft portion 222 configured for attachment to a distal cutting portion or knife bar 280. The firing member 220 may also be referred to herein as a "second shaft" and/or a "second shaft assembly". As can be seen in fig. 8 and 9, the intermediate firing shaft portion 222 can include a longitudinal slot 223 in a distal end thereof that can be configured to receive a tab 284 on a proximal end 282 of the distal knife bar 280. The longitudinal slot 223 and the proximal end 282 are sized and configured to allow relative movement therebetween, and may both include a slip joint 286. The slip joint 286 can allow the intermediate firing shaft portion 222 of the firing drive 220 to move while articulating the end effector 300 without moving, or at least substantially moving, the knife bar 280. Once the end effector 300 has been properly oriented, the intermediate firing shaft portion 222 can be advanced distally until the proximal side wall of the longitudinal slot 223 contacts the tab 284 in order to advance the knife bar 280 and fire a staple cartridge positioned within the channel 302. As can be further seen in fig. 8 and 9, the shaft spine 210 has an elongated opening or window 213 therein to facilitate assembly and insertion of the intermediate firing shaft portion 222 into the shaft frame 210. Once the intermediate firing shaft portion 222 has been inserted into the shaft frame, the top frame segment 215 may be engaged with the shaft frame 212, thereby enclosing the intermediate firing shaft portion 222 and the knife bar 280 therein. Further description of the operation of the firing member 220 may be found in U.S. patent application serial No. 13/803,086.
In addition to the above, the shaft assembly 200 can include a clutch assembly 400 that can be configured to selectively and releasably couple the articulation driver 230 to the firing member 220. In one form, the clutch assembly 400 includes a lock collar or sleeve 402 positioned about the firing member 220, wherein the lock sleeve 402 is rotatable between an engaged position in which the lock sleeve 402 couples the articulation driver 360 to the firing member 220 and a disengaged position in which the articulation driver 360 is not operably coupled to the firing member 200. With the lock sleeve 402 in its engaged position, distal movement of the firing member 220 can move the articulation driver 360 distally and, correspondingly, proximal movement of the firing member 220 can move the articulation driver 230 proximally. With the lock sleeve 402 in its disengaged position, the motion of the firing member 220 is not transferred to the articulation driver 230 and, therefore, the firing member 220 may move independently of the articulation driver 230. In various circumstances, the articulation driver 230 may be held in place by the articulation lock 350 if the firing member 220 does not move the articulation driver 230 in the proximal or distal direction.
Referring primarily to fig. 9, the lock sleeve 402 may include a cylindrical or at least substantially cylindrical body including a longitudinal bore 403 defined therein configured to receive the firing member 220. The lock sleeve 402 may include an inwardly facing lock protrusion 404 and an outwardly facing locking member 406, which are diametrically opposed. The lock protrusion 404 can be configured to selectively engage with the firing member 220. More specifically, with the lock sleeve 402 in its engaged position, the lock protrusion 404 is positioned within the drive notch 224 defined in the firing member 220 such that a distal pushing force and/or a proximal pulling force can be transmitted from the firing member 220 to the lock sleeve 402. With the lock sleeve 402 in its engaged position, the second locking member 406 is received within a drive notch 232 defined in the articulation driver 230 such that a distal pushing force and/or a proximal pulling force applied to the lock sleeve 402 may be transmitted to the articulation driver 230. In fact, with the lock sleeve 402 in its engaged position, the firing member 220, the lock sleeve 402, and the articulation driver 230 will move together. On the other hand, when the lock sleeve 402 is in its disengaged position, the lock protrusion 404 may not be positioned within the drive notch 224 of the firing member 220, and thus, the distal pushing force and/or the proximal pulling force may not be transmitted from the firing member 220 to the lock sleeve 402. Accordingly, the distal pushing force and/or the proximal pulling force may not be transmitted to the articulation driver 230. In this case, the firing member 220 can slide proximally and/or distally relative to the lock sleeve 402 and the proximal articulation driver 230.
as can be seen in fig. 8-12, the shaft assembly 200 further includes a switch drum 500 rotatably received on the closure tube 260. The switching drum 500 includes a hollow shaft segment 502 having a shaft boss 504 formed thereon for receiving the outwardly projecting actuating pin 410 therein. In each case, the actuation pin 410 extends through the slot 267 into a longitudinal slot 408 provided in the lock sleeve 402 to facilitate axial movement of the lock sleeve 402 with the articulation driver 230 engaged therewith. The rotary torsion spring 420 is configured to engage a boss 504 on the switch drum 500 and a portion of the nozzle housing 203 to apply a biasing force to the switch drum 500 as shown in fig. 10. Referring to fig. 5 and 6, the switch drum 500 may further include at least partially peripheral openings 506 defined therein, which may be configured to receive the peripheral mounts 204,205 extending from the nozzle halves 202,203 and allow relative rotation, but not translation, between the switch drum 500 and the proximal nozzle 201. As can be seen in these figures, the mounting brackets 204 and 205 also extend through openings 266 in the closure tube 260 that will seat in the recesses 211 of the spine 210. However, rotation of the nozzle 201 to a point at which the mounting brackets 204,205 reach the end of their respective slots 506 in the switch drum 500 will cause the switch drum 500 to rotate about the shaft axis SA-SA. Rotation of the switching drum 500 will eventually cause the actuation pin 410 to rotate and the lock sleeve 402 to rotate between its engaged and disengaged positions. Thus, the nozzle 201 may be used to operably engage and disengage an articulation drive system with a firing drive system in a variety of ways as further detailed in U.S. patent application serial No. 13/803,086.
As also shown in fig. 8-12, the shaft assembly 200 can include a slip ring assembly 600, which can be configured to conduct electrical power to and/or from the end effector 300, and/or transmit and/or receive signals to and/or from the end effector 300, for example. The slip ring assembly 600 may include a proximal connector flange 604 mounted to a base flange 242 extending from the base 240 and a distal connector flange 601 positioned within a slot defined in the shaft housings 202, 203. The proximal connector flange 604 can include a first face and the distal connector flange 601 can include a second face, wherein the second face is positioned adjacent to and movable relative to the first face. The distal connector flange 601 is rotatable relative to the proximal connector flange 604 about the shaft axis SA-SA. The proximal connector flange 604 may include a plurality of concentric or at least substantially concentric conductors 602 defined in a first face thereof. The connector 607 may be mounted on the proximal side of the connector flange 601 and may have a plurality of contacts (not shown) each of which corresponds to and makes electrical contact with one of the conductors 602. This configuration allows for relative rotation between the proximal connector flange 604 and the distal connector flange 601 while maintaining electrical contact therebetween. For example, the proximal connector flange 604 may include an electrical connector 606 that may place the conductor 602 in signal communication with a shaft circuit board 610 mounted to the shaft base 240. In at least one instance, a wire harness including a plurality of conductors can extend between the electrical connector 606 and the shaft circuit board 610. The electrical connector 606 may extend proximally through a connector opening 243 defined in the base mounting flange 242. See fig. 7. U.S. patent application serial No. 13/800,067 entitled "STAPLE CARTRIDGE TISSUE thickingsensor SYSTEM," filed on 3,13, 2013, is hereby incorporated by reference in its entirety. U.S. patent application serial No. 13/800,025 entitled "STAPLECARTRIDGE TISSUE THICKNESS SENSOR SYSTEM," filed on 3/13/2013, is hereby incorporated by reference in its entirety. More details regarding slip ring assembly 600 may be found in U.S. patent application serial No. 13/803,086.
As discussed above, the shaft assembly 200 can include a proximal portion that can be fixedly mounted to the handle 14, and a distal portion that can rotate about a longitudinal axis. As discussed above, the rotatable distal shaft portion may be rotated relative to the proximal portion about the slip ring assembly 600. The distal connector flange 601 of the slip ring assembly 600 may be positioned within the rotatable distal shaft portion. Also, in addition to the above, the switch drum 500 may be positioned within a rotatable distal shaft portion. As the rotatable distal shaft portion rotates, the distal connector flange 601 and the switch drum 500 may rotate in synchronization with each other. Additionally, the switch drum 500 is rotatable relative to the distal connector flange 601 between a first position and a second position. With the switch drum 500 in its first position, the articulation drive system can be operably disengaged from the firing drive system such that operation of the firing drive system may not articulate the end effector 300 of the shaft assembly 200. When the switch drum 500 is in its second position, the articulation drive system can be operably engaged with the firing drive system such that operation of the firing drive system can articulate the end effector 300 of the shaft assembly 200. The switch drum 500 moves relative to the distal connector flange 601 as it moves between its first and second positions. In various instances, the shaft assembly 200 can include at least one sensor configured to detect the position of the switch drum 500. Turning now to fig. 11 and 12, the distal connector flange 601 may include, for example, a hall effect sensor 605, and the switch drum 500 may include, for example, a magnetic element, such as permanent magnet 505. The hall effect sensor 605 may be configured to detect the position of the permanent magnet 505. The permanent magnet 505 may move relative to the hall effect sensor 605 as the switching drum 500 rotates between its first position and its second position. In various circumstances, the hall effect sensor 605 can detect changes in the magnetic field generated when the permanent magnet 505 moves. The hall effect sensor 605 may be in signal communication with, for example, the shaft circuit board 610 and/or the handle circuit board 100. The microcontroller on the shaft circuit board 610 and/or the handle circuit board 100 may determine whether the articulation drive system is engaged or disengaged from the firing drive system based on the signal from the hall effect sensor 605.
Referring again to fig. 3 and 7, the base 240 includes at least one, and preferably two tapered attachment portions 244 formed thereon that are receivable within corresponding dovetail slots 702 formed within the distal attachment flange portion 700 of the frame 20. Each dovetail slot 702 may be tapered, in other words, may be slightly V-shaped, to seatingly receive the attachment portion 244 therein. As can be further seen in fig. 3 and 7, a shaft attachment ear 226 is formed on the proximal end of the intermediate firing shaft 222. As will be discussed in further detail below, when the interchangeable shaft assembly 200 is coupled to the handle 14, the shaft attachment ears 226 are received within the firing shaft attachment brackets 126 formed in the distal end 125 of the longitudinal drive member 120. See fig. 3 and 6.
Various shaft assembly embodiments employ a latch system 710 to removably couple the shaft assembly 200 to the housing 12, and more particularly, to the frame 20. As can be seen in fig. 7, for example, in at least one form, the latch system 710 includes a locking member or lock yoke 712 movably coupled to the base 240. In the illustrated embodiment, for example, the lock yoke 712 is U-shaped with two spaced apart and downwardly extending legs 714. Each leg 714 has pivot ears 716 formed thereon that can be received in corresponding holes 245 formed in the base 240. This configuration facilitates pivotal attachment of the lock yoke 712 to the base 240. The lock yoke 712 may include two proximally projecting lock ears 714 configured for releasable engagement with corresponding lock detents or recesses 704 in the distal attachment flange 700 of the frame 20. See fig. 3. In various forms, the lock yoke 712 is biased in a proximal direction by a spring or biasing member (not shown). Actuation of the lock yoke 712 may be accomplished by a latch button 722 that is slidably mounted on a latch actuator assembly 720 mounted to the base 240. The latch button 722 may be biased in a proximal direction relative to the lock yoke 712. As will be discussed in further detail below, the lock yoke 712 may be moved to the unlocked position by biasing the latch button in a distal direction, which also causes the lock yoke 712 to pivot out of retaining engagement with the distal attachment flange 700 of the frame 20. With the lock yoke 712 "remaining engaged" with the distal attachment flange 700 of the frame 20, the lock ears 716 remain seated within the corresponding lock detents or grooves 704 in the distal attachment flange 700.
In the case where interchangeable shaft assemblies are employed that include end effectors of the types described herein as well as other types of end effectors that are capable of cutting and fastening tissue, it may be advantageous to prevent the interchangeable shaft assemblies from inadvertently disengaging from the housing during actuation of the end effector. For example, in use, a clinician may actuate the closure trigger 32 to grasp the target tissue and maneuver it to a desired location. Once the target tissue is positioned within the end effector 300 in the desired orientation, the clinician may fully actuate the closure trigger 32 to close the anvil 306 and clamp the target tissue in place for cutting and stapling. In this case, the first drive system 30 has been fully actuated. After the target tissue has been clamped in the end effector 300, it may be advantageous to prevent the shaft assembly 200 from being inadvertently detached from the housing 12. One form of the latching system 710 is configured to prevent such inadvertent disengagement.
As best seen in fig. 7, the lock yoke 712 includes at least one and preferably two lock hooks 718 capable of contacting corresponding lock ear portions 256 formed on the closure shuttle 250. Referring to fig. 13-15, with the closure shuttle 250 in the unactuated position (i.e., the first drive system 30 is unactuated and the anvil 306 is open), the lock yoke 712 can be pivoted in the distal direction to unlock the interchangeable shaft assembly 200 from the housing 12. In this position, the latch hook 718 does not contact the latch ear portion 256 on the closure shuttle 250. However, when the closure shuttle 250 is moved to the actuated position (i.e., the first drive system 30 is actuated and the anvil 306 is in the closed position), the lock yoke 712 is prevented from pivoting to the unlocked position. See fig. 16-18. In other words, if the clinician attempts to pivot the lock yoke 712 to the unlocked position, or, for example, the lock yoke 712 is inadvertently bumped or contacted in a manner that might otherwise cause it to pivot distally, the catch 718 on the lock yoke 712 will contact the catch 256 on the closure shuttle 250, preventing the lock yoke 712 from moving to the unlocked position.
The operation of the interchangeable shaft assembly 200 in attachment with the handle 14 will now be described with reference to fig. 3. To begin the coupling process, the clinician may position the base 240 of the interchangeable shaft assembly 200 over or near the distal attachment flange 700 of the frame 20 such that the tapered attachment portion 244 formed on the base 240 is aligned with the dovetail slot 702 in the frame 20. The clinician may then move the shaft assembly 200 along a mounting axis IA perpendicular to the shaft axis SA-SA to position the attachment portions 244 in "operable engagement" with the corresponding dovetail receiving slots 702. In so doing, the shaft attachment ears 226 on the intermediate firing shaft 222 will also be seated in the brackets 126 of the longitudinally movable drive member 120, and the portion of the pins 37 on the second closure link 38 will be seated in the corresponding hooks 252 in the closure yoke 250. As used herein, the term "operably engaged" in the context of two components means that the two components are sufficiently engaged with one another such that upon application of an actuation motion thereto, the components may perform their intended activities, functions and/or procedures.
as discussed above, at least five systems of the interchangeable shaft assembly 200 can be operably coupled with at least five corresponding systems of the handle 14. The first system may include a frame system that couples and/or aligns the frame or spine of the shaft assembly 200 with the frame 20 of the handle 14. The second system can include a closure drive system 30 that can operably connect the closure trigger 32 of the handle 14 with the closure tube 260 and anvil 306 of the shaft assembly 200. As outlined above, the closure tube attachment yoke 250 of the shaft assembly 200 may engage the pin 37 on the second closure link 38. The third system may include a firing drive system 80 that may operably connect the firing trigger 130 of the handle 14 with the intermediate firing shaft 222 of the shaft assembly 200. As outlined above, the shaft attachment ears 226 may be operably connected with the bracket 126 of the longitudinal drive member 120. The fourth system may include an electrical system capable of: sending a signal to a controller (such as a microcontroller) in the handle 14 that a shaft assembly (such as the shaft assembly 200) has been operably engaged with the handle 14; and/or conduct electrical power and/or communication signals between the shaft assembly 200 and the handle 14. For example, the shaft assembly 200 can include an electrical connector 4010 operably mounted to the shaft circuit board 610. Electrical connector 4010 is configured for mating engagement with a corresponding electrical connector 4000 on handle control board 100. Further details regarding the circuitry and control system can be found in U.S. patent application serial No. 13/803,086, the entire disclosure of which is previously incorporated herein by reference. The fifth system may consist of a latching system for releasably locking the shaft assembly 200 to the handle 14.
referring again to fig. 2 and 3, the handle 14 may include an electrical connector 4000 comprising a plurality of electrical contacts. Turning now to fig. 59, electrical connector 4000 can include, for example, a first contact 4001a, a second contact 4001b, a third contact 4001c, a fourth contact 4001d, a fifth contact 4001e, and a sixth contact 4001 f. Although the illustrated embodiment utilizes six contacts, other embodiments are contemplated that may utilize more than six contacts or less than six contacts. As shown in fig. 59, first contact 4001a can be in electrical communication with transistor 4008, contacts 4001b-4001e can be in electrical communication with microcontroller 7004, and sixth contact 4001f can be in electrical communication with ground. In certain instances, one or more of the electrical contacts 4001b to 4001e may be in electrical communication with one or more output channels of the microcontroller 7004 and may be energized, or have a voltage potential applied thereto, when the handle 1042 is in a powered state. In some cases, one or more of the electrical contacts 4001b-4001e may be in electrical communication with one or more input channels of the microcontroller 7004, and the microcontroller 7004 may be configured to be capable of detecting when a voltage potential is applied to such electrical contacts when the handle 14 is in a powered state. In the event that a shaft assembly (such as shaft assembly 200) is assembled to handle 14, electrical contacts 4001 a-4001 f may not communicate with each other. However, in the event that the shaft assembly is not assembled to handle 14, electrical contacts 4001 a-4001 f of electrical connector 4000 may be exposed, and in some cases, one or more of contacts 4001 a-4001 f may accidentally be in electrical communication with each other. Such a situation may arise, for example, when one or more of contacts 4001a through 4001f contact a conductive material. Once such a situation occurs, for example, the microcontroller 7004 may receive an erroneous input and/or the shaft assembly 200 may receive an erroneous output. To address this issue, in various circumstances, the handle 14 may not be powered when a shaft assembly, such as the shaft assembly 200, is not attached to the handle 14. In other instances, the handle 1042 can be energized when a shaft assembly (such as the shaft assembly 200) is not attached thereto. In such a case, for example, the microcontroller 7004 may be configured to ignore inputs or voltage potentials applied to contacts in electrical communication with the microcontroller 7004 (i.e., contacts 4001b-4001 e) prior to attachment of the shaft assembly to the handle 14. The handle 14 may be in a powered down state, although in this case the microcontroller 7004 may be powered to operate other functions of the handle 14. To some extent, electrical connector 4000 can be in a powered down state if the voltage potential applied to electrical contacts 4001b through 4001e may not affect the operation of handle 14. Readers will recognize that even though contacts 4001b-4001e may be in a powered down state, electrical contacts 4001a and 4001f that are not in electrical communication with microcontroller 7004 may or may not be in a powered down state. For example, the sixth contact 4001f can remain in electrical communication with the ground whether the handle 14 is in a powered state or a powered down state. Further, the transistor 4008 and/or any other suitable configuration of transistors (such as transistor 4010) and/or switches may be configured to control the supply of power from a power source 4004 (such as battery 90) within the handle 14 to the first electrical contact 4001a regardless of whether the handle 14 is in a powered state or a powered-down state. In various circumstances, for example, the shaft assembly 200 can be configured to change the state of the transistor 4008 with the shaft assembly 200 engaged with the handle 14. In some cases, the hall effect sensor 4002 can be configured to switch the state of the transistor 4010, and thus the state of the transistor 4008, in addition to the following, and ultimately supply power from the power source 4004 to the first contact 4001 a. In this way, both the power and signal circuits coupled to connector 4000 may be powered down in the event that the shaft assembly is not mounted to handle 14, and powered up in the event that the shaft assembly is mounted to handle 14.
In various instances, referring again to fig. 59, the handle 14 can include, for example, a hall effect sensor 4002, which can be configured to detect a detectable element, such as a magnetic element 4007 (fig. 3), located on a shaft assembly, such as the shaft assembly 200, with the shaft assembly coupled to the handle 14. The hall effect sensor 4002 can be powered by a power source 4006, such as a battery, which can actually amplify the detection signal of the hall effect sensor 4002 and communicate with the input channel of the microcontroller 7004 via the circuitry shown in fig. 59. Once the microcontroller 7004 receives an input indicating that the shaft assembly has been at least partially coupled to the handle 14, and thus that the electrical contacts 4001 a-4001 f are no longer exposed, the microcontroller 7004 may enter its normal or powered operating state. In such an operating state, microcontroller 7004 would evaluate the signals transmitted from the shaft assembly to one or more of contacts 4001b-4001e and/or transmit the signals to the shaft assembly through one or more of contacts 4001b-4001e in their normal use state. In various circumstances, it may be necessary to fully seat the shaft assembly 1200 before the hall effect sensor 4002 can detect the magnetic element 4007. For example, while the hall effect sensor 4002 may be utilized to detect the presence of the shaft assembly 200, any suitable system of sensors and/or switches may be utilized to detect whether the shaft assembly has been assembled to the handle 14. Thus, in addition to the above, both the power and signal circuits coupled to connector 4000 may be powered down in the event that the shaft assembly is not mounted to handle 14, and powered up in the event that the shaft assembly is mounted to handle 14.
In various embodiments, for example, any number of magnetic sensing elements may be employed to detect whether the shaft assembly has been assembled to the handle 14. For example, technologies for magnetic field sensing include detection coils, flux gates, optical pumps, nuclear spins, superconducting quantum interferometers (SQUIDs), hall effects, anisotropic magnetoresistance, giant magnetoresistance, magnetic tunnel junctions, giant magnetoimpedances, magnetostrictive/piezoelectric composites, magnetodiodes, magnetotransistors, optical fibers, magneto-optical, and magnetic sensors based on micro-electromechanical systems, among others.
Referring to fig. 59, microcontroller 7004 may generally include a microprocessor ("processor") and one or more memory units operatively coupled to the processor. The processor, by executing the instruction codes stored in the memory, may control various components of the surgical instrument, such as the motor, various drive systems, and/or a user display. The microcontroller 7004 may be implemented using integrated and/or discrete hardware elements, software elements, and/or a combination of such elements. Examples of integrated hardware elements may include processors, microprocessors, microcontrollers, integrated circuits, Application Specific Integrated Circuits (ASICs), Programmable Logic Devices (PLDs), Digital Signal Processors (DSPs), Field Programmable Gate Arrays (FPGAs), logic gates, registers, semiconductor devices, chips, microchips, chip sets, microcontrollers, system-on-chip (SoC), and/or package-on-Systems (SIPs). Examples of discrete hardware elements may include circuits and/or circuit elements, such as logic gates, field effect transistors, bipolar transistors, resistors, capacitors, inductors, and/or relays. In certain instances, for example, the microcontroller 7004 may include a hybrid circuit that includes discrete and integrated circuit elements or components on one or more substrates.
referring to FIG. 59, microcontroller 7004 can be, for example, LM4F230, available from Texas InstrumentsH5 QR. In some cases, LM4F230H5QR, available from Texas Instruments, is an ARM Cortex-M4F processor core that includes: 256KB single cycle flash memory or other non-volatile memory (up to 40MHz) on-chip memory, prefetch buffer to improve performance beyond 40MHz, 32KB single cycle Serial Random Access Memory (SRAM), load withInternal Read Only Memory (ROM) for software, 2KB Electrically Erasable Programmable Read Only Memory (EEPROM), one or more Pulse Width Modulation (PWM) modules, one or more Quadrature Encoder Input (QEI) analog, one or more 12-bit analog-to-digital converters (ADCs) with 12 analog input channels, and other features readily available. Other microcontrollers may be readily substituted for use in conjunction with the present disclosure. Accordingly, the present disclosure should not be limited to this context.
As discussed above, the handle 14 and/or shaft assembly 200 may include the following systems and structures: these systems and structures are configured to prevent, or at least reduce the likelihood of, shorting of the contacts of handle electrical connector 4000 and/or the contacts of shaft electrical connector 4010 when shaft assembly 200 is not assembled or fully assembled to handle 14. Referring to fig. 3, the handle electrical connector 4000 may be at least partially recessed within a cavity 4009 defined in the handle frame 20. The six contacts 4001a to 4001f of the electrical connector 4000 may be completely sunk into the cavity 4009. Such a configuration may reduce the likelihood of an object accidentally contacting one or more of contacts 4001a to 4001 f. Similarly, the shaft electrical connector 4010 can be positioned within a recess defined in the shaft base 240, which can reduce the likelihood of an object accidentally contacting one or more of the contacts 4011a through 4011f of the shaft electrical connector 4010. Referring to the specific embodiment shown in fig. 3, the shaft contacts 4011a through 4011f may comprise male contacts. In at least one embodiment, for example, each shaft contact 4011 a-4011 f can comprise a flexible tab extending therefrom that can be configured to engage a corresponding handle contact 4001 a-4001 f. The handle contacts 4001a to 4001f may comprise female contacts. In at least one embodiment, each handle contact 4001 a-4001 f can comprise a flat surface, for example, against which the boss contact 4001 a-4001 f can wipe or slide, thereby maintaining an electrically conductive engagement between the two contacts. In various circumstances, the direction of assembly of shaft assembly 200 to handle 14 can be parallel, or at least substantially parallel, to handle contacts 4001 a-4001 f such that shaft contacts 4011 a-4011 f slide against handle contacts 4001 a-4001 f when shaft assembly 200 is assembled to handle 14. In various alternative embodiments, handle contacts 4001 a-4001 f may comprise male contacts and shaft contacts 4011 a-4011 f may comprise female contacts. In certain alternative embodiments, handle contacts 4001a to 4001f and shaft contacts 4011a to 4011f may have any suitable contact arrangement.
In various instances, handle 14 may include a connector guard configured to at least partially cover handle electrical connector 4000 and/or a connector guard configured to at least partially cover shaft electrical connector 4010. In the event that the shaft assembly is not assembled, or only partially assembled, to the handle, the connector guard can prevent an object from accidentally contacting, or at least reduce the likelihood of an object accidentally contacting, the contacts of the electrical connector. The connector guard may be movable. For example, the connector guard may be movable between a guarding position, in which the connector guard at least partially protects the connector, and a non-guarding position, in which the connector guard does not protect the connector, or provides less protection to the connector. In at least one embodiment, the position of the connector guard may be moved when assembling the shaft assembly to the handle. For example, if the handle includes a handle connector guard, the shaft assembly may contact the handle connector guard and move its position when assembling the shaft assembly to the handle. Similarly, if the shaft assembly includes a shaft connector guard, the handle may contact the shaft connector guard and move its position when assembling the shaft assembly to the handle. In various instances, the connector guard may comprise a door, for example. In at least one instance, the door can have a sloped surface that can facilitate the door moving in a determined direction when the door is in contact with the handle or shaft. In various circumstances, for example, the connector guard may be translated and/or rotated. In some cases, the connector shield may include at least one film covering the electrical connector contacts. This film may break when assembling the shaft assembly to the handle. In at least one instance, the male contact of the connector may first pierce the film and then engage a corresponding contact disposed below the film.
As described above, the surgical instrument can include a system configured to selectively energize or enable contacts of an electrical connector, such as electrical connector 4000. In various cases, the contacts may be transitioned between an inactive state and an active state. In some cases, the contacts may be transitioned between a monitoring state, a deactivated state, and an activated state. For example, where the shaft assembly has not been assembled to the handle 14, the microcontroller 7004 may, for example, monitor the contacts 4001 a-4001 f, determine whether one or more of the contacts 4001 a-4001 f may have been shorted. Microcontroller 7004 may be configured to be able to apply a low voltage potential to each of contacts 4001a through 4001f and to assess whether only a minimum resistance is present at each contact. Such operating conditions may include monitored conditions. If the resistance detected at a contact is high, or exceeds a threshold resistance, the microcontroller 7004 may deactivate the contact, more than one contact, or all contacts. Such an operating state may include a deactivated state. As discussed above, if the shaft assembly is assembled to the handle 14 and detected by the microcontroller 7004, the microcontroller 7004 may increase the voltage potential applied to the contacts 4001 a-4001 f. Such an operational state may include an enabled state.
The various shaft assemblies disclosed herein may employ sensors and various other components that require electrical communication with a controller within the housing. These shaft assemblies are typically configured to be rotatable relative to the housing, and therefore a connection to facilitate such electrical communication must be provided between two or more components that are rotatable relative to one another. With an end effector of the type disclosed herein, the connector configuration must be relatively robust in nature, while also being somewhat compact in order to fit into the connector portion of the shaft assembly.
Fig. 19-22 illustrate one form of an electrical coupling or slip ring connector 1600 that may be used with, for example, an interchangeable shaft assembly 1200 or a variety of other applications requiring electrical connections between components that rotate relative to one another. The shaft assembly 1200 may be similar to the shaft assembly 200 described herein, including a closure tube or outer shaft 1260 and a proximal nozzle 1201 (the upper half of the nozzle 1201 has been omitted for clarity). In the example shown, the outer shaft 1260 is mounted on the spine 1210 such that the outer tube 1260 may be selectively axially movable thereon. Both the shaft ridge 1210 and the proximal end of the outer tube 1260 can be rotatably coupled to the base 1240 to rotate relative to the base about the shaft axis SA-SA. As discussed above, the proximal nozzle 1201 can include a mounting bracket or ear 1204 (fig. 20) that projects inwardly from the nozzle portion and extends through a corresponding opening 1266 in the outer tube 1260 to seat within a corresponding recess 1211 of the shaft spine 1210. Thus, if the clinician desires to rotate outer shaft 1260 and spine shaft 1210 about shaft axis SA-SA relative to base 1240, and presumes that an end effector (not shown) has been coupled to both, only nozzle 1201 needs to be rotated as represented by arrow "R" in fig. 19.
if sensors are employed, for example, at the end effector, or at multiple locations within or on the shaft assembly, conductors, such as wires and/or traces (not shown), may be received or mounted within the outer tube 1260, and may even be routed from the sensors along the path of the outer tube 1260 to the distal electrical components 1800 mounted within the nozzle 1201. Thus, the distal electrical component 1800 may rotate with the nozzle 1201 about the shaft axis SA-SA. In the embodiment shown in FIG. 20, the electrical components 1800 include connectors, batteries, and the like, including contacts 1802,1804,1806 and 1808 that are laterally displaced from one another.
the slip ring connector 1600 also includes a mounting member 1610 that includes a cylindrical body portion 1612 that defines an annular mounting surface 1613. A distal flange 1614 may be formed on at least one end of the cylindrical body portion 1612. The body portion 1612 of the mounting member 1610 is dimensioned to non-rotatably mount on the mounting hub 1241 of the base 1240. In the illustrated embodiment, a distal flange 1614 is disposed on one end of the body portion 1612. A second flange 1243 is formed on the base 1240 such that, after the body portion 1612 is fixedly (non-rotatably) mounted thereto, the second flange 1243 abuts the proximal end of the body portion 1612.
the slip ring connector 1600 also employs a unique and novel ring circuit trace assembly 1620 that is wrapped around a ring mounting surface 1613 of the body portion 1612 in a manner that is received between a first flange 1614 and a second flange 1243. Referring now to fig. 21 and 22, the circuit trace assembly 1620 may include an adhesive backed flexible substrate 1622 that may be wrapped around the outer periphery (i.e., annular mounting surface 1613) of the body portion 1612. The flexible substrate 1622 may be "T-shaped" before being wrapped around the body portion 1612, the shape having a first loop portion 1624 and a lead portion 1626. As can also be seen in fig. 19-21, circuit trace assembly 1620 may also include circuit traces 1630,1640,1650,1660, which may include, for example, electrically conductive gold plated traces. But other conductive materials may be used. Each conductive circuit trace includes a "loop portion," which will form the loop portion of the trace when the substrate is wrapped around the body portion 1612, and another portion, i.e., a "lead portion," extending laterally or perpendicularly from the loop portion. More specifically, referring to fig. 22, a first conductive circuit trace 1630 has a first loop portion 1632 and a first lead portion 1634. The second conductive circuit trace 1640 has a second loop portion 1642 and a second lead portion 1644 extending laterally or perpendicularly from the second loop portion. The third conductive trace 1650 has a third ring portion 1652 and a third lead portion 1654 extending laterally or perpendicularly from the third ring portion. The fourth conductive circuit trace has a fourth annular portion 1662 and a fourth lead portion 1664 extending laterally or perpendicularly from the fourth annular portion. The conductive circuit traces 1630,1640,1650,1660 may be applied to the flexible substrate 1622 using conventional manufacturing techniques when the substrate is in a planar orientation (i.e., prior to being wound onto the annular body portion 1612 of the mounting member 1610). As can be seen in fig. 22, the annular portions 1632,1642,1652,1662 are laterally displaced from one another. Likewise, the lead portions 1634,1644,1654,1664 are also laterally displaced from one another.
When circuit trace assembly 1620 is wrapped around annular mounting surface 1613 and attached thereto by adhesive, double-sided tape, etc., the ends of the portions of the substrate including annular portion 1632,1642,1652,1664 are butted together such that annular portion 1632,1642,1652,1664 forms discrete continuous annular conductive paths 1636,1646,1656,1666 that each extend about axis SA-SA. Thus, the conductive paths 1636,1646,1656,1666 are laterally or axially displaced from one another along the shaft axis SA-SA. The lead portion 1626 may extend through a slot 1245 in the flange 1243 and electrically couple to a circuit board (see, e.g., circuit board 610 in fig. 7) or other suitable electrical component.
in the embodiment shown, for example, the electrical components 1800 are mounted within the nozzle 1261 to rotate about the mounting member 1610 such that: contact 1802 is always in electrical contact with first annular conductive path 1636, contact 1804 is always in electrical contact with second annular conductive path 1646, contact 1806 is always in electrical contact with third annular conductive path 1656, and contact 1808 is always in electrical contact with fourth conductive path 1666. It should be understood, however, that various advantages may also be obtained using the slip ring connector 1600 in applications where the mounting member 1610 is supported for rotation about the shaft axis SA-SA, and the electrical components 1800 are fixedly mounted relative to the mounting member. It should also be appreciated that slip ring connector 1600 may be usefully employed in connection with a variety of different components and applications outside of the surgical field, where it is advantageous to provide electrical connections between components that rotate relative to one another.
Slip ring connector 1600 includes a radial slip ring that provides a conductive contact means to transfer signals and power to and from any radial position after rotation of the shaft. In applications where the electrical components include battery contacts, the location of the battery contacts may be set relative to the mounting member so as to minimize any tolerance build up between these components. The coupling configuration may represent a low cost coupling configuration that can be assembled at the lowest manufacturing cost. Gold plated traces may also minimize the possibility of corrosion. The unique and novel contact arrangement facilitates full clockwise and counterclockwise rotation about the shaft axis SA-SA while maintaining electrical contact with the corresponding annular conductive path.
fig. 23-25 illustrate one form of electrical coupling or slip ring connector 1600 'that may be used with, for example, an interchangeable shaft assembly 1200' or a variety of other applications that require electrical connections to be provided between components that rotate relative to one another. The shaft assembly 1200' may be similar to the shaft assembly 1200 described herein, including a closure tube or outer shaft 1260 and a proximal nozzle 1201 (the upper half of the nozzle 1201 has been omitted for clarity). In the example shown, the outer shaft 1260 is mounted on the spine 1210 such that the outer tube 1260 may be selectively axially movable thereon. Both the shaft ridge 1210 and the proximal end of the outer tube 1260 can be rotatably coupled to the base 1240' for rotation relative to the base about the shaft axis SA-SA. As discussed above, the proximal nozzle 1201 can include a mounting bracket or ear that projects inwardly from the nozzle portion and extends through a corresponding opening 1266 in the outer tube 1260 to seat within a corresponding recess 1211 of the spine 1210. Thus, if the clinician desires to rotate outer shaft 1260 and spine shaft 1210 about shaft axis SA-SA relative to base 1240', and presumes that an end effector (not shown) has been coupled to both, only nozzle 1201 needs to be rotated as represented by arrow "R" in fig. 23.
if sensors are employed, for example, at the end effector, or at multiple locations within or on the shaft assembly, conductors, such as wires and/or traces (not shown), may be received or mounted within the outer tube 1260, and may even be routed from the sensors along the path of the outer tube 1260 to the distal electrical components 1800' mounted within the nozzle 1201. Thus, the distal electrical component 1800' may rotate with the nozzle 1201 and the wire/trace attached thereto. In the embodiment shown in FIG. 23, the electrical components 1800 include connectors, batteries, etc., including contacts 1802 ', 1804', 1806 ', 1808' that are laterally displaced from one another.
The slip ring connector 1600 'also includes a laminated slip ring assembly 1610' made of a plurality of conductive rings laminated together. More specifically, referring to fig. 25, one form of slip ring assembly 1610 'may include a first non-conductive flange 1670 forming a distal end of the slip ring assembly 1610'. Flange 1670 may be made of, for example, a high heat resistant material. A first conductive ring 1680 is positioned proximate to the first flange 1670. The first conductive ring 1680 may include a first copper ring 1681 having a first gold plating layer 1682 thereon. A second nonconductive ring 1672 is adjacent to the first conductive ring 1680. A second conductive ring 1684 is adjacent to the second non-conductive ring 1672. The second conductive ring 1684 can include a second copper ring 1685 having a second gold plating layer 1686 thereon. A third nonconductive ring 1674 is adjacent to the second conductive ring 1684. The third conductive ring 1688 is adjacent to the third non-conductive ring 1674. The third conductive ring 1688 may include a third copper ring 1689 having a third gold plating layer 1690 thereon. A fourth nonconductive ring 1676 is adjacent to the third conductive ring 1688. The fourth conductive ring 1692 is adjacent to the fourth non-conductive ring 1676. The fourth conductive ring 1692 is adjacent to the fourth non-conductive ring 1676. A fifth nonconductive ring 1678 is adjacent to the fourth conductive ring 1692 and forms the proximal end of the mounting member 1610'. The nonconductive ring 1670,1672,1674,1676,1678 may be made of the same material. The first conductive ring 1680 forms a first annular conductive via 1700. The second conductive ring 1682 forms a second annular conductive path 1702 that is laterally or axially spaced from the first annular conductive path 1700. The third conductive ring 1688 forms a third annular conductive path 1704 that is laterally or axially spaced from the second annular conductive path 1702. The fourth conductive ring 1692 forms a fourth annular conductive via 1706 that is laterally or axially spaced from the third annular conductive via 1704. Slip ring assembly 1610' comprises a unitary molded high temperature resistant non-conductive material with channels molded therein for electro-magnetically forming (EMF-electro-magnetically forming) copper rings.
As can be seen in fig. 24, the slip ring connector 1600' also includes a non-conductive transverse mounting member 1720 that is insertable into the axially aligned notches 1710 in each of the rings 1670,1680,1672,1684,1674,1688,1676,1692 and 1678. The lateral mounting member 1720 has a first circuit trace 1722 thereon that is capable of making electrical contact with the first annular conductive via 1700 when the lateral mounting member 1672 is installed within the notch 1710. Likewise, a second circuit trace 1724 is printed on the cross-mount member 1720 and is configured to make electrical contact with the second annular conductive via 1702. A third circuit trace 1726 is printed on the cross-mount member 1720 and is configured to make electrical contact with the third annular conductive via 1704. A fourth circuit trace 1728 is printed on the lateral mounting member 1720 and is configured to make electrical contact with the fourth annular conductive via 1706.
In the configuration shown in fig. 23-25, the slip ring assembly 1610 ' is configured to be fixedly (non-rotatably) received on a mounting hub 1241 ' on the base 1240 '. Transverse mounting member 1720 is received within a groove 1243 'formed in mounting hub 1241', which groove acts as a keyway for transverse mounting member 1720 and helps prevent slip ring assembly 1610 'from rotating relative to mounting hub 1241'.
in the embodiment shown, for example, the electrical component 1800 'is mounted within the nozzle 1201 for rotation about the slip ring assembly 1610', thereby causing: contact 1802 'is always in electrical contact with first annular conductive path 1700, contact 1804' is always in electrical contact with second annular conductive path 1702, contact 1806 'is always in electrical contact with third annular conductive path 1704, and contact 1808' is always in electrical contact with fourth conductive path 1706. It should be appreciated, however, that various advantages may also be obtained using the slip ring connector 1600 ' in applications where the slip ring assembly 1610 ' is supported for rotation about the shaft axis SA-SA and the electrical component 1800 ' is fixedly mounted relative thereto. It should also be appreciated that slip ring connector 1600' may be usefully employed in connection with a variety of different components and applications outside of the surgical field, where it is advantageous to provide electrical connections between components that rotate relative to one another.
Slip ring connector 1600' includes a radial slip ring that provides a conductive contact means to transfer signals and power to and from any radial position after rotation of the shaft. In applications where the electrical components include battery contacts, the location of the battery contacts may be set relative to the mounting member so as to minimize any tolerance build up between these components. The slip ring connector 1600' represents a low cost coupling configuration that can be assembled at minimal manufacturing cost. Gold plated traces may also minimize the possibility of corrosion. The unique and novel contact arrangement facilitates full clockwise and counterclockwise rotation about the shaft axis while maintaining electrical contact with the corresponding annular conductive path.
fig. 26-30 illustrate another form of electrical coupling or slip ring connector 1600 "that may be used with, for example, an interchangeable shaft assembly 1200" or a variety of other applications that require electrical connections to be provided between components that rotate relative to one another. The shaft assembly 1200 "may be similar to the shaft assemblies 1200 and/or 1200' described herein, except for the differences shown below. The shaft assembly 1200 "may include a closure tube or outer shaft 1260 and a proximal nozzle 1201 (the upper half of the nozzle 1201 has been omitted for clarity). In the example shown, the outer shaft 1260 is mounted on the spine 1210 such that the outer tube 1260 may be selectively axially movable thereon. Both the shaft ridge 1210 and the proximal end of the outer tube 1260 may be rotatably coupled to the base 1240 "for rotation relative thereto about the shaft axis SA-SA. As discussed above, the proximal nozzle 1201 can include a mounting bracket or ear that projects inwardly from the nozzle portion and extends through a corresponding opening 1266 in the outer tube 1260 to seat within a corresponding recess 1211 of the spine 1210. Thus, if the clinician desires to rotate outer shaft 1260 and spine shaft 1210 about shaft axis SA-SA relative to base 1240 ", and presumes that an end effector (not shown) has been coupled to both, only nozzle 1201 need be rotated.
If sensors are employed, for example, at the end effector, or at multiple locations within or on the shaft assembly, conductors, such as wires and/or traces (not shown), may be received or mounted within the outer tube 1260, and may even be routed from the sensors along the path of the outer tube 1260 to the distal electrical components 1800 "' mounted within the nozzle 1201. In the illustrated embodiment, for example, the electrical component 1800 "is mounted within the nozzle 1201 such that it is substantially aligned with the shaft axis SA-SA. The distal electrical component 1800 "may be rotated about the shaft axis SA-SA with the nozzle 1201 and the wire/trace attached thereto. The electrical components 1800 "may include connectors, batteries, etc., including four contacts 1802", 1804 ", 1806", 1808 "that are laterally displaced from one another.
The slip ring connector 1600 "also includes a slip ring assembly 1610" that includes a base ring 1900 made of a non-conductive material and having a central mounting hole 1902 therethrough. The mounting aperture 1902 has a planar surface 1904 and is configured for non-rotational attachment to a mounting flange assembly 1930 supported at a distal end of the chassis 1240 ". The distal side 1905 of the base ring 1900 has a series of concentric conductive rings 1906,1908,1910,1912 attached or laminated thereto. Ring 1906,1908,1910,1912 may be attached to base ring 1900 using any suitable method.
The base ring 1900 may also include a circuit trace extending therethrough that is coupled to each of the conductive loops 1906,1908,1910,1912. Referring now to fig. 28-30, the first circuit trace 1922 extends through a first aperture 1920 in the base ring 1900 and is coupled to the first conductive ring 1906. First circuit trace 1922 terminates in a first proximal contact portion 1924 on proximal side 1907 of base ring 1900. See fig. 30. Similarly, a second circuit trace 1928 extends through a second hole 1926 in the base ring 1900 and is coupled to the second conductive ring 1908. Second circuit trace 1928 terminates at a second proximal contact 1930 on proximal side 1907 of base ring 1900. A third circuit trace 1934 extends through the third hole 1932 in the base ring and is attached to the third conductive loop 1910. The third circuit trace 1934 terminates at a third proximal contact 1936 on the proximal side 1907 of the base ring. The fourth circuit trace 1940 extends through a fourth hole 1938 in the base ring 1900 to be attached to the fourth conductive ring 1912. The fourth circuit trace 1940 terminates at a fourth proximal contact 1942 on the proximal side 1907 of the base ring 1900.
referring now to fig. 27, base ring 1900 is configured to be non-rotatably supported within nozzle 1201 by way of a mounting flange 1950 that is non-rotatably coupled to a mounting hub portion 1241 "of mount 1240". The mounting hub portion 1241 "may be formed with a planar surface 1243" for supporting a transverse mounting member, e.g., of the type described above, that includes a plurality of (preferably four) leads that may be coupled to a circuit board or other corresponding electrical component supported on a base, e.g., in the various manners and configurations described herein and in U.S. patent application serial No. 13/803,086. The lateral support members have been omitted from fig. 26 and 27 for clarity. However, as can be seen in fig. 26 and 27, the mounting flange 1950 has a recess 1952 therein that is capable of engaging a portion of a flat surface 1243 "on the mounting hub portion 1241". As can be seen in fig. 27, the mounting flange 1950 may also include a flange hub portion 1954 that includes a series of spring tabs 1956 that help fixedly attach the base ring 1900 to the mounting flange 1950. It will be appreciated that the closure tube 1260 and ridge 1210 extend through the flange hub 1954 and are rotatable with the nozzle 1201 relative thereto.
in the embodiment shown, for example, electrical component 1800 "is mounted within nozzle 1201 for rotation about slip ring assembly 1610", such that, for example, even as nozzle 1201 rotates relative to base 1240 ", contact 1802" in component 1800 "is always in electrical contact with ring 1906, contact 1804" is always in contact with ring 1908, contact 1806 "is still in contact with ring 1910, and contact 1808" is always in contact with ring 1912. It should be appreciated, however, that various advantages may also be obtained using the slip ring connector 1600 "in applications where the slip ring assembly 1610" is supported for rotation about the shaft axis SA-SA and the electrical component 1800 "is fixedly mounted relative thereto. It should also be appreciated that slip ring connector 1600 "may be usefully employed in connection with a variety of different components and applications outside of the surgical field, where it is advantageous to provide electrical connections between components that rotate relative to one another.
Slip ring connector 1600 "includes a radial slip ring that provides a conductive contact means to transfer signals and power to and from any radial position after rotation of the shaft. In applications where the electrical components include battery contacts, the location of the battery contacts may be set relative to the mounting member so as to minimize any tolerance build up between these components. The slip ring connector 1600 "represents a low cost compact coupling configuration that can be assembled at minimal manufacturing cost. The unique and novel contact arrangement facilitates full clockwise and counterclockwise rotation about the shaft axis while maintaining electrical contact with the corresponding annular conductive ring.
Fig. 31-36 generally illustrate a motor-driven surgical fastening and cutting instrument 2000. As shown in fig. 31 and 32, the surgical instrument 2000 may include a handle assembly 2002, a shaft assembly 2004, and a power assembly 2006 (or "power source" or "power pack"). The shaft assembly 2004 may include an end effector 2008 that may be configured to act as an endocutter in some cases to clamp, sever, and/or staple tissue, but in other cases different types of end effectors may be employed, such as end effectors for other types of surgical instruments, e.g., graspers, cutters, staplers, clip appliers, access devices, drug/gene therapy devices, ultrasound devices, radiofrequency devices, and/or laser devices. Several RF DEVICEs are disclosed in U.S. patent 5,403,312 entitled "electroluminescent medical DEVICE" published on 4.4.1995 and U.S. patent application serial No. 12/031,573 entitled "SURGICAL FASTENING AND CUTTING INSTRUMENTTHAVING RF ELECTRODES" filed on 14.2.2008. The entire disclosures of U.S. patent 5,403,312 entitled "ELECTROSURGICAL HEMOSTATIC DEVICE" published at 4.4.1995 and U.S. patent application Ser. No. 12/031,573 entitled "SURGICAL FASTENING AND CUTTING INSTRUMENTS HAVATING RF ELECTRODES" filed at 14.2.2008 are hereby incorporated by reference in their entirety.
referring primarily to fig. 32 and 33A, 33B, the handle assembly 2002 can be used with a plurality of interchangeable shaft assemblies (e.g., shaft assembly 2004). Such interchangeable shaft assemblies may include a surgical end effector, such as end effector 2008, which may be configured to perform one or more surgical tasks or procedures. An example OF a suitable interchangeable shaft assembly is disclosed in U.S. provisional patent application serial No. 61/782,866 entitled "CONTROL SYSTEM OF a basic INSTRUMENT", filed on 14/3.2013. The entire disclosure of U.S. provisional patent application serial No. 61/782,866 entitled "CONTROL SYSTEM OFA SURGICAL instument" filed on 3,14, 2013 is hereby incorporated by reference in its entirety.
Referring primarily to fig. 32, the handle assembly 2002 may include a housing 2010 comprised of a handle 2012 that may be configured to be grasped, manipulated, and actuated by a clinician. However, it should be understood that the various unique and novel configurations of the various forms of interchangeable shaft assemblies disclosed herein may also be effectively used in conjunction with robotically controlled surgical systems. Thus, the term "housing" may also encompass a housing or similar portion of a robotic system that houses or otherwise operably supports at least one drive system configured to generate and apply at least one control action useful for actuating the interchangeable shaft assemblies disclosed herein and their respective equivalents. For example, the interchangeable shaft assemblies disclosed herein may be used WITH various robotic systems, INSTRUMENTS, components, and methods disclosed in U.S. patent application serial No. 13/118,241 (now U.S. patent application publication 2012/0298719), entitled "SURGICAL INSTRUMENTS WITH rotabable stage device". U.S. patent application Ser. No. 13/118,241 (now U.S. patent application publication 2012/0298719), entitled "SURGICAL STAPLING SYSTEMS WITH ROTATABLE STAPLE DEPLOYMENT ARRANGEMENTS," is hereby incorporated by reference in its entirety.
referring again to fig. 32, the handle assembly 2002 may operably support a plurality of drive systems therein, which may be configured to generate and apply various control actions to corresponding portions of the interchangeable shaft assembly operably attached thereto. For example, the handle assembly 2002 can operably support a first drive system (or closure drive system) that can be used to apply a closing motion and an opening motion to a shaft assembly 2004 operably attached or coupled to the handle assembly 2002. In at least one form, the handle assembly 2002 can operably support a firing drive system that can be configured to apply a firing motion to corresponding portions of an interchangeable shaft assembly attached thereto.
Referring primarily to fig. 33B, the handle assembly 2002 can include a motor 2014 that can be controlled by a motor driver 2015 and used by the firing system of the surgical instrument 2000. In various forms, the motor 2014 may be a direct current brushed drive motor, for example, having a maximum rotational speed of approximately 25,000 RPM. In other configurations, the motor 2014 may include a brushless motor, a cordless motor, a synchronous motor, a stepper motor, or any other suitable electric motor. In some cases, the motor driver 2015 can include, for example, an H-bridge FET 2019, as shown in fig. 33B. The motor 2014 may be powered by a power assembly 2006 (fig. 35), the power assembly 2006 being releasably mountable to the handle assembly 2002 and configured to control the power supplied to the surgical instrument 2000. The power assembly 2006 may include a battery 2007 (fig. 36) that may include a plurality of battery cells connected in series that may be used as a power source to power the surgical instrument 2000. In this configuration, the power assembly 2006 may be referred to as a battery pack. In some cases, the battery cells of the power assembly 2006 may be replaceable and/or rechargeable. In at least one example, the battery cell can be a lithium ion battery that can be detachably coupled to the power assembly 2006.
an example OF a drive SYSTEM and closure SYSTEM suitable for use with SURGICAL INSTRUMENT 2000 is disclosed in U.S. provisional patent application serial No. 61/782,866 entitled "CONTROL SYSTEM OF a SURGICAL INSTRUMENT" filed on 3,14, 2013, the entire disclosure OF which is incorporated herein by reference in its entirety. For example, the electric motor 2014 may include a rotatable shaft (not shown) operatively interfacing with a gear reducer assembly mounted on the longitudinally movable drive member in meshing engagement with the drive teeth of a set or a rack. In use, the polarity of the voltage provided by the battery 2007 (fig. 36) can operate the electric motor 2014 to drive the longitudinally movable drive member to effect the end effector 2008. For example, the motor 2014 can be configured to drive a longitudinally movable drive member that advances a firing mechanism to fire staples from a staple cartridge assembled with the end effector 2008 into tissue captured by the end effector 2008 and/or to advance a cutting member 2011 (fig. 34), for example, to cut tissue captured by the end effector 2008.
In certain instances, the surgical instrument 2000 can include a lockout mechanism for preventing a user from coupling incompatible handle and power assemblies. For example, as shown in fig. 35, the power assembly 2006 may include a mating element 2011. In some cases, the mating element 2011 may be a tab extending from the power component 2006. In certain instances, the handle assembly 2002 may include a corresponding mating element (not shown) for mating engagement with the mating element 2011. Such a configuration may be useful to prevent a user from coupling incompatible handle and power assemblies.
The reader will appreciate that different interchangeable shaft assemblies may have different power requirements. The power required to advance the cutting member through the end effector and/or to fire the staples can depend on, for example, the distance the cutting member travels, the staple cartridge used, and/or the type of tissue being treated. That is, the power assembly 2006 may be configured to meet the power requirements of various interchangeable shaft assemblies. For example, as shown in fig. 34, the cutting member 2011 of the shaft assembly 2004 can be configured to travel a distance D1 along the end effector 2008. In another aspect, the other interchangeable shaft assembly 2004 'can include a cutting member 2011' that can be configured to travel a distance D2, different from the distance D1, along the end effector 2008 'of the interchangeable shaft assembly 2004'. The power assembly 2006 can be configured to provide a first power output sufficient to power the motor 2014 to advance the cutting member 2011 a distance D1 when the interchangeable shaft assembly 2004 is coupled to the handle assembly 2002; and can be configured, for example, to provide a second power output different from the first power output sufficient to power the motor 2014 to advance the cutting member 2011 'a distance D2 when the interchangeable shaft assembly 2004' is coupled to the handle assembly 2002. As shown in fig. 33B, and as described in detail below, the power assembly 2006 can include a power management controller 2016 (fig. 36) that can be configured to adjust the power output of the power assembly 2006 to deliver a first power output to energize the motor 2014 to advance the cutting member 2011 a distance D1 when the interchangeable shaft assembly 2004 is coupled to the handle assembly 2002, and to deliver a second power output to energize the motor 2014 to advance the cutting member 2011 'a distance D2, such as when the interchangeable shaft assembly 2004' is coupled to the handle assembly 2002. Such adjustment can be advantageous in avoiding transmission of excessive power to the motor 2014 beyond the requirements of the interchangeable shaft assembly coupled to the handle assembly 2002.
Referring again to fig. 32-36, the handle assembly 2002 can be releasably coupled or attached to an interchangeable shaft assembly (e.g., shaft assembly 2004). In certain instances, the handle assembly 2002 may be releasably coupled or attached to the power assembly 2006. Various coupling devices may be used to releasably couple the handle assembly 2002 to the shaft assembly 2004 and/or to the power assembly 2006. An exemplary coupling mechanism is described in U.S. provisional patent application serial No. 61/782,866 entitled "CONTROL SYSTEM OF SYSTEM in exact inventory" filed on 3,14, 2013. For example, the shaft assembly 2004 may include a shaft attachment module 2018 (fig. 32) that may further include a latch actuator assembly that may be configured to mate with a lock yoke that is pivotably coupled to the shaft attachment module 2018 for selective pivotal travel relative thereto, wherein the lock yoke may include proximally projecting lock ears configured for releasable engagement with corresponding lock pawls or grooves formed in the handle assembly attachment module 2020 of the handle assembly 2002.
referring now primarily to fig. 33A and 33B-36, the shaft assembly 2004 may include a shaft assembly controller 2022 that may communicate with the power management controller 2016 via an interface 2024 when the shaft assembly 2004 and the power assembly 2006 are coupled to the handle assembly 2002. For example, the interface 2024 can include a first interface portion 2025, which can include one or more electrical connectors 2026 for coupling engagement with a corresponding shaft assembly electrical connector 2028, and a second interface portion 2027, which can include one or more electrical connectors 2030 for coupling engagement with a corresponding power assembly electrical connector 2032, thereby allowing electrical communication between the shaft assembly controller 2022 and the power management controller 2016 when the shaft assembly 2004 and the power assembly 2006 are coupled to the handle assembly 2002. One or more communication signals may be transmitted over the interface 2024 to communicate one or more power requirements of the attached interchangeable shaft assembly 2004 to the power management controller 2016. In response, the power management controller may adjust the power output of the battery 2007 of the power assembly 2006 as a function of the power requirements of the attachment shaft assembly 2004, as described in more detail below. In certain instances, one or more of the electrical connectors 2026,2028,2030 and/or 2032 can include switches that can be activated after the handle assembly 2002 is mechanically coupled to the shaft assembly 2004 and/or the power assembly 2006 to allow electrical communication between the shaft assembly controller 2022 and the power management controller 2016.
In certain instances, for example, the interface 2024 routes one or more communication signals through a master controller 2017 (fig. 33A and 33B) located within the handle assembly 2002, whereby transmission of such communication signals between the power management controller 2016 and the shaft assembly controller 2022 can be facilitated. In other instances, when shaft assembly 2004 and power assembly 2006 are coupled to handle assembly 2002, interface 2024 may facilitate routing a communication line between power management controller 2016 and shaft assembly controller 2022 through handle assembly 2002.
in one case, the master microcontroller 2017 may be any type of single or multi-core processor, such as those known under the trade name ARM Cortex, available from Texas Instruments. In one instance, the surgical instrument 2000 may include a power management controller 2016, such as a safety microcontroller platform (also available from Texas Instruments under the trade name Hercules ARM Cortex R4) that includes two microcontroller-based families, such as TMS570 and RM4 x. However, other suitable alternatives for the microcontroller and the secure processor may be employed without limitation. In one case, the security processor 1004 may be explicitly configured for IEC 61508 and ISO 26262 security critical applications and others to provide advanced integrated security features while providing scalable performance, connectivity, and memory options.
in some cases, microcontroller 2017 may be, for example, LM4F230H5QR, available from Texas Instruments. In at least one example, Texas InstLM4F230H5QR from ruments is an ARM Cortex-M4F processor core, which includes: 256KB single cycle flash memory or other non-volatile memory (up to 40MHz) on-chip memory, prefetch buffer to improve performance beyond 40MHz, 32KB single cycle Serial Random Access Memory (SRAM), load withInternal Read Only Memory (ROM) for software, 2KB Electrically Erasable Programmable Read Only Memory (EEPROM), one or more Pulse Width Modulation (PWM) modules, one or more Quadrature Encoder Input (QEI) analog, one or more 12-bit analog-to-digital converters (ADCs) with 12 analog input channels, and other features readily available for product data manuals. The present disclosure should not be limited in this context.
Referring now primarily to fig. 36 and 37, the power component 2006 may include a power management circuit 2034, which may include a power management controller 2016, a power modulator 2038, and a current sensing circuit 2036. The power management circuit 2034 may be configured to adjust the power output of the battery 2007 based on the power requirements of the shaft assembly 2004 when the shaft assembly 2004 and power assembly 2006 are coupled to the handle assembly 2002. For example, the power management controller 2016 may be programmed to control the power modulator 2038 to regulate the power output of the power component 2006, and the current sensing circuit 2036 may be used to monitor the power output of the power component 2006 to provide feedback to the power management controller 2016 related to the power output of the battery 2007, such that the power management controller 2016 may regulate the power output of the power component 2006 to maintain a desired output, as shown in fig. 37.
notably, power management controller 2016 and/or axle assembly controller 2022 may each include one or more processors and/or memory units that may store a plurality of software modules. Although certain modules and/or blocks of the surgical instrument 2000 may be described by way of example, it may be appreciated that a greater or lesser number of modules and/or blocks may be used. In addition, although various aspects may be described in terms of modules and/or blocks for ease of illustration, the modules and/or blocks may be implemented by one or more hardware components, such as processors, Digital Signal Processors (DSPs), Programmable Logic Devices (PLDs), Application Specific Integrated Circuits (ASICs), circuits, registers, and/or software components, such as programs, subroutines, logic, and/or a combination of hardware and software components.
in some instances, the surgical instrument 2000 may include an output device 2042, which may include one or more devices for providing sensory feedback to the user. Such devices may include, for example, visual feedback devices (e.g., LCD display screens, LED indicators), audible feedback devices (e.g., speakers, buzzers), or tactile feedback devices (e.g., haptic actuators). In some instances, the output device 2042 can include a display 2043, which can be included in the handle assembly 2002, as shown in fig. 36. The shaft assembly controller 2022 and/or the power management controller 2016 may provide feedback to a user of the surgical instrument 2000 via an output device 2042. Interface 2024 may be configured to connect shaft assembly controller 2022 and/or power management controller 2016 to output device 2042. The reader will appreciate that the output device 2042 may alternatively be integrated with the power component 2006. In such instances, when the shaft assembly 2004 is coupled to the handle assembly 2002, communication between the output device 2042 and the shaft assembly controller 2022 may be enabled through the interface 2024.
Referring to fig. 38 and 39, a surgical instrument 2050 is illustrated. The surgical instrument 2050 is similar in many respects to the surgical fastening and cutting instrument 2000 (fig. 31). For example, the surgical instrument 2050 may include an end effector 2052 that is similar in many respects to the end effector 2008. For example, the end effector 2052 may be configured to act as a endocutter for grasping, cutting, and/or stapling tissue.
in addition to the above, the surgical instrument 2050 can include an interchangeable working assembly 2054 that can include a handle assembly 2053 and a shaft 2055 that extends between the handle assembly 2053 and the end effector 2052, as shown in fig. 38. In some instances, the surgical instrument 2050 may include a power assembly 2056 that may be used with a plurality of interchangeable working assemblies (e.g., interchangeable working assemblies 2054). Such interchangeable working assemblies may include a surgical end effector, such as end effector 2052, which may be configured to perform one or more surgical tasks or procedures. In certain instances, the handle assembly 2053 and the shaft 2055 can be integrated into a single unit. In other instances, the handle assembly 2053 and the shaft 2055 can be detachably coupled to one another.
similar to the surgical instrument 2000, the surgical instrument 2050 may operably support a plurality of drive systems that may be powered by the power assembly 2056 when the power assembly 2056 is coupled to the interchangeable working assembly 2054. For example, the interchangeable work assembly 2054 may operably support a closure drive system that may be used to apply a closing motion and an opening motion to the end effector 2052. In at least one form, the interchangeable work assembly 2054 can operably support a firing drive system that can be configured to apply a firing motion to the end effector 2052. An example OF a drive system suitable for use with SURGICAL INSTRUMENT 2050 is described in U.S. provisional patent application serial No. 61/782,866 entitled "control system OF a SURGICAL INSTRUMENT," filed on 3, 14, 2013, the entire disclosure OF which is incorporated herein by reference in its entirety.
referring to fig. 39, the power assembly 2056 of the surgical instrument 2050 can be detachably coupled to an interchangeable working assembly, such as the interchangeable working assembly 2054. Various coupling devices may be used to releasably couple the power assembly 2056 to the interchangeable work assembly 2054. An exemplary coupling mechanism is described herein and is described in U.S. provisional patent application serial No. 61/782,866 entitled "CONTROL SYSTEM OF a SURGICAL INSTRUMENT," filed on 14.3.2013, the entire disclosure OF which is incorporated herein by reference in its entirety.
still referring to fig. 39, the power assembly 2056 may include a power source 2058, such as a battery that may be configured to power the interchangeable working assembly 2054 when coupled to the power assembly 2056. In certain instances, the power assembly 2056 may include a memory 2060 that may be configured to receive and store information regarding the battery 2058 and/or the interchangeable working assembly 2054, such as, for example, the battery 2058 state of charge, the number of treatment cycles performed using the battery 2058, and/or identification information of the interchangeable working assembly coupled to the power assembly 2056 during a period of use of the battery 2058. In addition to the foregoing, the interchangeable working assembly 2054 can include a controller 2062 that can be configured to provide the memory 2060 with information regarding the battery 2058 and/or the interchangeable working assembly 2054.
still referring to fig. 39, the power assembly 2056 may include an interface 2064 that may be configured to facilitate electrical communication between the memory 2060 of the power assembly 2056 and a controller of an interchangeable working assembly coupled to the power assembly 2056 (e.g., the controller 2062 of the interchangeable working assembly 2054). For example, the interface 2064 may include one or more connectors 2066 for coupling engagement with corresponding working assembly connectors 2068 to permit electrical communication between the controller 2062 and the memory 2060 when the interchangeable working assembly 2054 is coupled to the power assembly 2056. In some instances, one or more of the electrical connectors 2066 and/or 2068 may include switches that may be activated after the interchangeable working assembly 2054 is coupled in engagement with the power assembly 2056 to enable electrical communication between the controller 2062 and the memory 2060.
Still referring to fig. 39, the power assembly 2056 may include a state of charge monitoring circuit 2070. In some cases, the charge status monitoring circuit 2070 may comprise a coulometer. When the interchangeable working assembly 2054 is coupled to the power assembly 2056, the controller 2062 may communicate with the state of charge monitoring circuit 2070. The state of charge monitoring circuit 2070 is operable to provide accurate monitoring of the state of charge of the battery 2058.
fig. 40 illustrates an exemplary module 2072 used with a controller of an interchangeable working assembly (e.g., the controller 2062 of the interchangeable working assembly 2054 when coupled to the power assembly 2056). For example, the controller 2062 may include one or more processors, and/or a memory unit that may store a plurality of software modules (e.g., the module 2072). While certain modules and/or blocks of the surgical instrument 2050 may be described by way of example, it will be appreciated that a greater or lesser number of modules and/or blocks may be used. Additionally, although various aspects may be described in terms of modules and/or blocks for ease of illustration, these modules and/or blocks may be implemented by one or more hardware components, such as processors, DSPs, PLDs, ASICs, circuits, registers, and/or combinations of hardware and software components, such as programs, subroutines, logic.
in any event, after coupling the interchangeable working assembly 2054 to the power assembly 2056, the interface 2064 may facilitate communication between the controller 2062 and the memory 2060 and/or the state of charge monitoring circuit 2070 to effect the module 2072, as shown in fig. 40. For example, the controller 2062 of the interchangeable working assembly 2054 may utilize the state of charge monitoring circuit 2070 to measure the state of charge of the battery 2058. The controller 2062 may then access the memory 2060 and determine whether the previous state of charge value of the battery 2058 was stored in the memory 2060. When a previous value is detected, the controller 2060 may compare the measured value with a previously stored value. If the measured value is different from the previously stored value, the controller 2060 may update the previously stored value. When the previous value is not detected, the controller 2060 may store the measured value into the memory 2060. In some cases, the controller 2060 may provide visual feedback to the user of the surgical instrument 2050 regarding the measured state of charge of the battery 2058. For example, the controller 2060 may display an actual value of the state of charge of the battery 2058 on an LCD display screen, which in some cases may be integrated with the interchangeable working assembly 2054.
In addition to the foregoing, the module 2072 may also be executed by other controllers when interchangeable working components of such other controllers are coupled to the power assembly 2056. For example, a user may disconnect the interchangeable working assembly 2054 from the power assembly 2056. The user may then connect another interchangeable working assembly including another controller to the power assembly 2056. When the interchangeable working assembly 2054 is coupled to the power assembly 2056, such a controller may, in turn, measure the state of charge of the battery 2058 using the coulomb counter circuit 2070 and may then access the memory 2060 and determine whether the previous state of charge value of the battery 2058 (e.g., the value input by the controller 2060) was stored in the memory 2060. When a previous value is detected, the controller may compare the measured value to a previously stored value. If the measured value is different from the previously stored value, the controller may update the previously stored value.
fig. 41 illustrates a surgical instrument 2090, which is similar in many respects to surgical instrument 2000 (fig. 31) and/or surgical instrument 2050 (fig. 38). For example, the surgical instrument 2090 may include an end effector 2092 that is similar in many respects to the end effector 2008 and/or the end effector 2052. For example, the end effector 2092 may be configured to act as a endocutter for grasping, cutting, and/or stapling tissue.
In addition to the above, the surgical instrument 2090 may include an interchangeable working assembly 2094 that may include a handle assembly 2093 and a shaft 2095 that may extend between the handle assembly 2093 and the end effector 2092. In some instances, the surgical instrument 2090 may include a power assembly 2096 that may be used with a plurality of interchangeable working assemblies (e.g., the interchangeable working assembly 2094). Such interchangeable working assemblies may include a surgical end effector, such as end effector 2092, which may be configured to perform one or more surgical tasks or procedures. In some cases, the handle assembly 2093 and the shaft 2095 may be integrated into a single unit. In other cases, the handle assembly 2093 and the shaft 2095 can be detachably coupled to each other.
Additionally, the power assembly 2096 of the surgical instrument 2090 may be detachably coupled to an interchangeable working assembly, such as the interchangeable working assembly 2094. Various coupling devices may be used to releasably couple the power assembly 2096 to the interchangeable working assembly 2094. Similar to the surgical instrument 2050 and/or the surgical instrument 2000, the surgical instrument 2090 may operably support one or more drive systems that may be powered by the power assembly 2096 when the power assembly 2096 is coupled to the interchangeable working assembly 2094. For example, the interchangeable working assembly 2094 may operably support a closure drive system that may be used to apply a closing motion and/or an opening motion to the end effector 2092. In at least one form, the interchangeable working assembly 2094 may operably support a firing drive system that may be configured to apply a firing motion to the end effector 2092. An exemplary drive SYSTEM and coupling mechanism for use with SURGICAL INSTRUMENT 2090 is described in more detail in U.S. provisional patent application serial No. 61/782,866 entitled "CONTROL SYSTEM OF a motor INSTRUMENT," filed on 2013, month 3, and day 14, the entire disclosure OF which is incorporated herein by reference.
Referring to fig. 41-45, the interchangeable working assembly 2094 may include a motor (e.g., motor 2014 (fig. 44)) and a motor driver (e.g., motor driver 2015 (fig. 44)) that may be used, for example, to actuate a closure drive system and/or a firing drive system of the interchangeable working assembly 2094. The motor 2014 may be powered by a battery 2098 (fig. 42), which may be located in the power assembly 2096. As shown in fig. 42 and 43, battery 2098 may include a plurality of series connected battery cells that may be used as a power source to power motor 2014. In some cases, the battery unit of power assembly 2096 may be replaceable and/or rechargeable. For example, the battery unit may be a lithium ion battery that is detachably coupleable to power assembly 2096. In use, the polarity of the voltage provided by the power assembly 2096 operates the motor 2014 to drive the longitudinally movable drive member to effect the end effector 2092. For example, the motor 2014 may be configured to drive a longitudinally movable drive member to advance a cutting member to cut tissue captured by the end effector 2092 and/or to advance a firing mechanism to fire staples from a staple cartridge assembled with the end effector 2092, for example. The staples can be fired into tissue captured by the end effector 2092, for example.
Referring now to fig. 41-45, the interchangeable working assembly 2094 may include a working assembly controller 2102 (fig. 44 and 45) and the power assembly 2096 may include a power assembly controller 2100 (fig. 42 and 43). The working assembly controller 2102 may be configured to generate one or more signals to communicate with the power assembly controller 2100. In some instances, the working assembly controller 2102 may generate one or more signals to communicate with the power assembly controller 2100 by adjusting the transmission of power from the power assembly 2096 to the interchangeable working assembly 2094 when the power assembly 2096 is coupled to the interchangeable working assembly 2094.
Further, the power assembly controller 2100 may be configured to perform one or more functions in response to receiving one or more signals generated by the working assembly controller 2102. For example, the interchangeable working assembly 2094 may have a power demand, and the working assembly controller 2102 may be configured to generate a signal indicative of the power assembly controller 2100 selecting the power output of the battery 2098 based on the power demand of the interchangeable working assembly 2094; when the power assembly 2096 is coupled to the interchangeable working assembly 2094, a signal may be generated by adjusting the transmission of power from the power assembly 2096 to the interchangeable working assembly 2094 as described above. In response to receiving the signal, the power assembly controller 2100 may set the power output of the battery 2098 to accommodate the power requirements of the interchangeable working assembly 2094. The reader will recognize that different interchangeable working components may be used with power component 2096. The different interchangeable working assemblies may have different power requirements and may generate a unique signal to their power requirements during their coupled engagement with the power assembly 2096 to alert the power assembly controller 2100 to set the power output of the battery 2098 in accordance with the power requirements.
referring now primarily to fig. 42 and 43, the power assembly 2096 may include a power modulator control 2106 that may include, for example, one or more Field Effect Transistors (FETs), darlington arrays, tunable amplifiers, and/or any other power modulator. When the interchangeable working assembly 2094 is coupled to the power assembly 2096, in response to the signal generated by the working assembly controller 2102, the power assembly controller 2100 may actuate the power modulator control device 2106 to set the power output of the battery 2098 according to the power requirements of the interchangeable working assembly 2094.
still referring primarily to fig. 42 and 43, when the interchangeable working assembly 2094 is coupled to the power assembly 2096, the power assembly controller 2100 may be configured to monitor the transmission of power from the power assembly 2096 to the interchangeable working assembly 2094 to detect one or more signals generated by the working assembly controller 2102 of the interchangeable working assembly 2094. As shown in fig. 42, for example, the power assembly controller 2100 may utilize a voltage monitoring mechanism for monitoring the voltage across the battery 2098 to detect one or more signals generated by the working assembly controller 2102. In some cases, a voltage regulator may be used to scale the voltage of battery 2098 so that the voltage may be read by an analog-to-digital converter (ADC) of power module controller 2100. As shown in fig. 42, the voltage regulator may include a voltage divider 2108 that may generate a reference voltage or low voltage signal proportional to the voltage of battery 2098, which may be measured and recorded to power module controller 2100, e.g., by an ADC.
In other instances, as shown in fig. 43, the power assembly 2096 may, for example, include a current monitoring mechanism to monitor the current delivered to the interchangeable working assembly 2094 to detect one or more signals generated by the working assembly controller 2102. In some instances, the power assembly 2096 may include a current sensor 2110 that may be used to monitor the current delivered to the interchangeable working assembly 2094. The monitored current may be recorded to the power module controller 2100, for example, by an ADC. In other instances, the power assembly controller 2100 may be configured to simultaneously monitor the current delivered to the interchangeable working assembly 2094 and the corresponding voltage across the battery 2098 to detect one or more signals generated by the working assembly controller 2102. The reader will recognize that the power assembly controller 2100 may utilize various other mechanisms for monitoring current and/or voltage to detect one or more signals generated by the working assembly controller 2102; the present disclosure contemplates all of these mechanisms.
as shown in fig. 44, the working assembly controller 2102 may be configured to regulate power transmitted from the battery 2098 to the motor 2014 by enabling the motor driver 2015 to generate one or more signals for communication with the power assembly controller 2100. Thus, the voltage across battery 2098 powering motor 2014 and/or the current drawn from battery 2098 may form a discontinuous pattern or waveform representative of one or more signals. As described above, the power assembly controller 2100 may be configured to monitor the voltage across the battery 2098 and/or the current drawn from the battery 2098 for one or more signals generated by the working assembly controller 2102.
when detecting a signal, power assembly controller 2100 can be configured to perform one or more functions corresponding to the detected signal. In at least one example, when the first signal is detected, the power assembly controller 2100 can be configured to actuate the power modulator control 2106 to set the power output of the battery 2098 to have a first duty cycle. In at least one example, when the second signal is detected, the power assembly controller 2100 can be configured to actuate the power modulator control 2106 to set the power output of the battery 2098 to have a second duty cycle different from the first duty cycle.
in some cases, as shown in fig. 45, the interchangeable working assembly 2094 may include a power modulation circuit 2012 that may include one or more Field Effect Transistors (FETs) that may be controlled by the working assembly controller 2102 to generate a signal or waveform that may be recognized by the power assembly controller 2100. For example, in some cases, the working assembly controller 2102 may operate the power modulation circuit 2012 to amplify the voltage above that of the battery 2098, for example, to trigger a new power mode of the power assembly 2096.
Referring now primarily to fig. 42 and 43, the power assembly 2096 may include a switch 2104 that is switchable between an open position and a closed position. For example, the switch 2104 may be transitioned from the open position to the closed position when the power assembly 2096 is coupled with the interchangeable working assembly 2094. In some instances, the switch 2104 may be manually transitioned from the open position to the closed position after, for example, the power assembly 2096 is coupled with the interchangeable working assembly 2094. When the switch 2104 is in the open position, components of the power assembly 2096 may consume sufficiently low or no power to maintain the charge of the battery 2098 for clinical use. The switch 2104 may be a mechanical mechanism, a reed mechanism, a hall mechanism, or any other suitable switching mechanism. Further, in some instances, power assembly 2096 may include an optional power source 2105 that may be configured to provide sufficient power to the various components of power assembly 2096 during use of battery 2098. Similarly, the interchangeable working assembly 2094 may also include an optional power source 2107 that may be configured to provide sufficient power to the various components of the interchangeable working assembly 2094.
In use, as shown in fig. 46, the power assembly 2096 may be coupled to the interchangeable working assembly 2094. In some instances, as described above, the switch 2104 can be switched to a closed configuration to electrically connect the interchangeable working assembly 2094 to the power assembly 2096. In response, the interchangeable working assembly 2094 may be powered up and may at least begin to draw a relatively low current from the battery 2098. For example, the interchangeable working assembly 2094 may draw less than or equal to 1 amp of current to power various components of the interchangeable working assembly 2094. In some cases, power assembly 2096 may also be powered up when switch 2014 is transitioned to the closed position. In response, the power assembly controller 2100 may begin monitoring the current drawn from the interchangeable working assembly 2094 by monitoring, for example, the voltage across the battery 2098 and/or the current transfer from the battery 2098 to the interchangeable working assembly 2094, as detailed above.
to generate and transmit a communication signal to the power assembly controller 2100 via power modulation, the working assembly controller 2102 may pulse the motor 2014 with a pattern or waveform of power peaks, for example, using a motor driver 2015. In some cases, the working assembly controller 2102 can be configured to communicate with a motor driver 2015 to quickly switch the direction of motion of the motor 2014 by quickly switching the polarity of the voltage across the windings of the motor 2014 to limit the effective current generated by power spikes from being delivered to the motor 2014. Thus, as shown in fig. 47C, in response to a power peak, the effective motor displacement resulting from the power peak may be reduced to minimize the effective displacement of the drive system of the surgical instrument 2090 coupled to the motor 2014.
In addition to the above, the working assembly controller 2102 may communicate with the power assembly controller 2100 by consuming power from the battery 2098 in the form of predetermined packets or bursts of peaks using the motor driver 2015, which may be repeated over a predetermined period of time to form a relief map that may be detected by the power assembly controller 2100. For example, as shown in fig. 47A and 47B, power assembly controller 2100 may be configured to monitor a predetermined voltage relief pattern (e.g., voltage relief pattern 2103 (fig. 47A)) and/or a predetermined current relief pattern (e.g., current pattern 2109 (fig. 47B)) of the voltage across battery 2100 using a voltage and/or current monitoring mechanism as detailed above. Further, power assembly controller 2100 may be configured to perform one or more functions when a relief pattern is detected. The reader will recognize that communication between the power assembly controller 2100 and the working assembly controller 2102 by adjusting power transfer may reduce the number of connections required between the interchangeable working assembly 2094 and the power assembly 2096.
In some cases, power assembly 2096 may be used with multiple generations of various interchangeable working assemblies, which may have different power requirements. Some of the different interchangeable working components may include the communication system described above, while others may not. For example, the power component 2096 may be used with a first generation interchangeable working component that does not have the communication system described above. Alternatively, the power component 2096 may be used with a second generation interchangeable working component (e.g., the interchangeable working component 2094) that includes the communication system described above.
In addition to the above, the first generation of interchangeable working components can have a first power requirement and the second generation of interchangeable working components can have a second power requirement that can be different from the first power requirement. For example, the first power requirement may be less than the second power requirement. To accommodate the first power requirements of the first generation of interchangeable working components and the second power requirements of the second generation of interchangeable working components, the power component 2096 may have a first power mode for the first generation of interchangeable working components and a second power mode for the second generation of interchangeable working components. In some cases, the power assembly 2096 may be configured to operate in a default first power mode corresponding to the power requirements of the first generation interchangeable working assembly. Thus, when the first generation of interchangeable working components are connected to the power component 2096, the default first power mode of the power component 2096 may accommodate the first power requirements of the first generation of interchangeable working components. However, when a second generation interchangeable working component (e.g., the interchangeable working component 2094) is connected to the power component 2096, as described above, the working component controller 2102 of the interchangeable working component 2094 may communicate with the power component controller 2100 of the power component 2096 to switch the power component 2096 to the second power mode to accommodate the second power requirement of the interchangeable working component 2094. The reader will recognize that because the first generation interchangeable working component lacks the ability to generate communication signals, the power component 2096, when connected to the first generation interchangeable working component, will remain in the default first power mode.
As noted above, battery 2098 may be rechargeable. In some cases, it may be advantageous to drain the battery 2098 before transporting the power assembly 2096. In preparation for transporting the power assembly 2096, a dedicated drain circuit may be activated to drain the battery 2098. After reaching the final destination, battery 2098 may be recharged for surgery. However, in clinical use, the drain circuit may continue to drain the battery 2098. In certain instances, as detailed above, the interchangeable working assembly controller 2102 can be configured to transmit the drain circuit deactivation signal to the power assembly controller 2100 by adjusting the power transmission from the battery 2098 to the motor 2014. In response to the drain circuit disable signal, the power assembly controller 2100 can be programmed to disable the drain circuit, for example, thereby preventing the battery 2098 from being depleted via the drain circuit. The reader will recognize that when the power assembly 2096 is coupled to the interchangeable working assembly 2094, the working assembly controller 2102 may generate various communication signals to instruct the power assembly controller 2100 to perform various functions.
referring again to fig. 42-45, the power assembly controller 2100 and/or the working assembly controller 2102 may include one or more processors and/or memory units that may store a plurality of software modules. While certain modules and/or blocks of the surgical instrument 2050 may be described by way of example, it will be appreciated that a greater or lesser number of modules and/or blocks may be used. Additionally, although various aspects may be described in terms of modules and/or blocks for ease of illustration, these modules and/or blocks may be implemented by one or more hardware components, such as processors, DSPs, PLDs, ASICs, circuits, registers, and/or combinations of hardware and software components, such as programs, subroutines, logic.
Fig. 48 generally illustrates a motor-driven surgical instrument 2200. In certain instances, the surgical instrument 2200 may comprise a handle assembly 2202, a shaft assembly 2204, and a power assembly 2206 (or "power source" or "power pack"). The shaft assembly 2204 can include an end effector 2208 that can, in some instances, be configured to act as an endocutter for clamping, severing and/or stapling tissue, although in other instances different types of end effectors can be used, such as end effectors for other types of surgical devices, such as graspers, cutters, staplers, clip appliers, access devices, drug/gene therapy devices, ultrasound, RF and/or laser devices, and the like. Several RF DEVICEs are found in U.S. patent 5,403,312 entitled "electroluminescent medical DEVICE" published on 4.4.1995 and U.S. patent application serial No. 12/031,573 entitled "SURGICAL FASTENING AND CUTTING INSTRUMENTS HAVARING RF ELECTRODES" filed on 14.2.2008, the entire disclosures of which are incorporated herein by reference in their entirety.
In certain instances, for example, the handle assembly 2202 can be detachably coupled to the shaft assembly 2204. In such instances, the handle assembly 2202 can be used with a plurality of interchangeable shaft assemblies that can include a surgical end effector (such as end effector 2208) that can be configured to perform one or more surgical tasks or surgical procedures. For example, one or more interchangeable shaft assemblies may employ end effectors adapted to support different sizes and types of staple cartridges, and have different shaft lengths, sizes, types, and the like. An example OF a suitable interchangeable shaft assembly is disclosed in U.S. provisional patent application serial No. 61/782,866 entitled "CONTROL SYSTEM OF a basic INSTRUMENT" filed on 14.3.2013, the entire disclosure OF which is hereby incorporated by reference in its entirety.
Still referring to fig. 48, the handle assembly 2202 may include a housing 2210 comprised of a handle 2212 that may be configured to be grasped, manipulated, and actuated by a clinician. However, it should be understood that various unique and novel configurations of housing 2210 may also be effectively used in conjunction with robotically controlled surgical systems. Thus, the term "housing" can also encompass a housing or similar portion of a robotic system that houses or otherwise operably supports at least one drive system configured to generate and apply at least one control action that can be used to actuate the shaft assembly 2204 disclosed herein, and the corresponding equivalents thereof. For example, housing 2210 disclosed herein may be used WITH various robotic systems, instruments, components, and methods disclosed in U.S. patent application serial No. 13/118,241 (now U.S. patent application publication 2012/0298719), entitled "SURGICAL instruments WITH rotabable stage design and methods," which is incorporated herein by reference in its entirety.
in at least one form, the surgical instrument 2200 can be a surgical fastening and cutting instrument. Additionally, housing 2210 may operably support one or more drive systems. For example, as shown in fig. 50, the housing 2210 may support a drive system, referred to herein as a firing drive system 2214, configured to apply a firing motion to the end effector 2208. The firing drive system 2214 may employ an electric motor 2216, which may be located in the handle 2212, for example. In various forms, motor 2216 may be a direct current brushed drive motor, for example, having a maximum rotational speed of about 25,000 RPM. In other arrangements, the motor may comprise a brushless motor, a wireless motor, a synchronous motor, a stepper motor, or any other suitable electric motor. A battery 2218 (or "power source" or "power pack"), such as a lithium ion battery, may be coupled to the handle 2212 to provide power to the control circuit board assembly 2220 and ultimately to the motor 2216.
In some instances, still referring to fig. 50, the electric motor 2216 can include a rotatable shaft (not shown) that can operably interface with a gear reducer assembly 2222 that is mounted on a longitudinally movable drive member 2226 in meshing engagement with the drive teeth 2224 of a set or rack of teeth. In use, the polarity of the voltage provided by the battery 2218 can operate the electric motor 2216 in a clockwise direction, wherein the polarity of the voltage applied to the electric motor by the battery 2218 can be reversed to operate the electric motor 2216 in a counterclockwise direction. For example, when the electric motor 2216 is rotated in one direction, the drive member 2226 will be driven axially in the distal direction "D", and for example, when the motor 2216 is driven in the opposite rotational direction, the drive member 2226 will be driven axially in the proximal direction "P", as shown in fig. 50. The handle 2212 may include a switch that can reverse the polarity applied to the electric motor 2216 by the battery 2218. As with other versions described herein, the handle 2212 can also include a sensor configured to detect the position of the drive member 2226 and/or the direction in which the drive member 2226 is moving.
as noted above, in at least one form, the longitudinally movable drive member 2226 may include a rack of drive teeth 2224 formed thereon for meshing engagement with the gear reducer assembly 2222. In certain instances, as shown in fig. 50, the surgical instrument 2200 can include a manually actuatable "bailout" assembly 2228 that can be configured to enable a clinician to manually retract the longitudinally movable drive member 2226 upon detection of a bailout error, for example, when the motor 2216 fails (which can cause tissue trapped by the end effector 2208 to become stuck) during operation of the surgical instrument 2200.
In addition to the above, as shown in fig. 50, the bailout assembly 2228 may include a lever or bailout handle 2230 configured to be manually moved or pivoted into ratcheting engagement with the teeth 2224 in the drive member 2226. In such instances, the clinician can manually retract drive member 2226, e.g., by retracting drive member 2226 in the proximal direction "P" using emergency handle 2230, to release the stuck tissue, e.g., from end effector 2208. Exemplary emergency arrangements and other components, arrangements and SYSTEMs that may be used WITH the various devices disclosed herein are disclosed in U.S. patent application serial No. 12/249,117 (now U.S. patent application publication 2010/0089970), entitled "POWERED SURGICAL procedure AND STAPLING APPARATUS WITH manual calling for a device, which is hereby incorporated by reference in its entirety.
In addition to the above, referring now primarily to fig. 48 and 50, the bailout handle 2230 of the bailout assembly 2228 can be located within the housing 2210 of the handle assembly 2202. In some cases, access to the emergency handle 2230 may be controlled by the emergency door 2232. Panic door 2232 may be releasably locked to housing 2210 to control access to panic handle 2230. As shown in fig. 48, panic door 2232 may include a locking mechanism, such as a snap-type locking mechanism 2234 for locking engagement with housing 2210. The present disclosure contemplates other locking mechanisms for locking emergency door 2232 to housing 2210. In use, a clinician may access the bailout handle 2230 by unlocking the locking mechanism 2234 and opening the bailout door 2232. In at least one example, the panic door 2232 can be detachably coupled to the housing 2232 and can be disengaged from the housing 2210, providing access to the panic handle 2230, for example. In another example, panic door 2232 may be pivotably coupled to housing 2210 by a hinge (not shown), for example, and may pivot relative to housing 2210 to provide access to panic handle 2230. In yet another example, panic door 2232 may be a sliding door that is slidably movable relative to housing 2210 to provide access to panic handle 2230.
Referring now to fig. 51, the surgical instrument 2200 can include a panic feedback system 2236 that can be configured to guide and/or provide feedback to a clinician during various steps of use of the panic assembly 2228 as described in detail below. In some cases, emergency feedback system 2236 may include a microcontroller 2238 and/or one or more emergency feedback elements. The electrical and electronic circuit elements associated with emergency feedback system 2236 and/or emergency feedback elements are supported by, for example, control circuit board assembly 2220. Microcontroller 2238 may generally include a memory 2240 and a microprocessor 2242 ("processor") operatively coupled to memory 2240. Processor 2242 may control motor driver 2244 circuitry, which is typically used to control the position and velocity of motor 2216. In some cases, the processor 2242 sends a signal to the motor driver 2244 to stop or deactivate the motor 2216, as described in detail below. In some instances, the processor 2242 may control a separate motor override circuit, which may include a motor override switch, that may stop and/or deactivate the motor 2216 in response to an override signal from the processor 2242 during operation of the surgical instrument 2200. It is to be understood that the term "processor" as used herein includes any suitable microprocessor, microcontroller, or other basic computing device that combines the functions of a computer's Central Processing Unit (CPU) onto one integrated circuit or at most several integrated circuits. A processor is a multipurpose programmable device that receives digital data as input, processes the input according to instructions stored in its memory, and then provides the result as output. The processor has internal memory and is therefore an example of sequential digital logic. The operands of the processor are numbers and symbols represented in a binary numerical system.
In one case, the processor 2242 may be any type of single or multi-core processor, such as those known under the trade name ARM Cortex, available from Texas Instruments. In one instance, the surgical instrument 2200 may include a safety processor, such as a safety microcontroller platform (known under the trade name Hercules ARM Cortex R4, also available from Texas Instruments) comprising two microcontroller-based families, such as TMS570 and RM4 x. However, other suitable alternatives for the microcontroller and the secure processor may be employed without limitation. In one case, the security processor 1004 may be explicitly configured for IEC 61508 and ISO 26262 security critical applications and others to provide advanced integrated security features while providing scalable performance, connectivity, and memory options.
In some cases, microcontroller 2238 can be, for example, LM4F230H5QR, available from Texas Instruments. In at least one example, LM4F230H5QR, available from Texas Instruments, is an ARM Cortex-M4F processor core that includes: 256KB Single cycle flash or other non-volatile memory (up to 40MHz) on-chip memory 2240, prefetch buffer to improve performance beyond 40MHz, 32KB Single cycle Serial Random Access Memory (SRAM), load withInternal Read Only Memory (ROM) for software, 2KB Electrically Erasable Programmable Read Only Memory (EEPROM), one or more Pulse Width Modulation (PWM) modules, one or more Quadrature Encoder Input (QEI) analog, one or more 12-bit analog-to-digital converters (ADCs) with 12 analog input channels, and other features readily available for product data manuals. Other microcontrollers could easily be substituted for use in the emergency feedback system 2236. Accordingly, the present disclosure should not be limited to this context.
referring again to fig. 51, the emergency feedback system 2236 may include, for example, an emergency door feedback element 2246. In some instances, the emergency door feedback element 2246 may be configured to alert the processor 2242 that the locking mechanism 2234 is unlocked. In at least one example, the emergency door feedback element 2246 may include a switching circuit (not shown) operatively coupled to the processor 2242; the switch circuit can be configured to transition to an open configuration, for example, when a clinician unlocks the locking mechanism 2234, and/or to transition to a closed configuration when the clinician locks the locking mechanism 2234. In at least one example, the emergency door feedback element 2246 may include at least one sensor (not shown) operatively coupled to the processor 2242; the sensor may be configured to be triggered, for example, when a clinician transitions the locking mechanism 2234 to the unlocked and/or locked configuration. The reader will appreciate that the emergency door feedback element 2246 may include other means for detecting that the locking mechanism 2234 is locked and/or unlocked by a clinician.
in some instances, the emergency door feedback element 2246 may include a switching circuit (not shown) operatively coupled to the processor 2242; for example, the switching circuit may be configured to transition to an open configuration, such as when the panic door 2232 is removed or opened, and/or to a closed configuration, such as when the panic door 2232 is installed or closed. In at least one example, the emergency door feedback element 2246 may include at least one sensor (not shown) operatively coupled to the processor 2242; the sensor may be configured to be triggered, for example, when the panic door 2232 is removed or opened, and/or when the panic door 2232 is closed or installed, for example. The reader will appreciate that the panic door feedback element 2246 may include other means for detecting that the locking mechanism 2234 is locked and/or unlocked by a clinician, and/or that the panic door 2232 is opened and/or closed by a clinician.
In some cases, as shown in fig. 51, the emergency feedback system 2236 may include one or more additional feedback elements 2248, which may include additional switching circuitry and/or sensors in operative communication with the processor 2242; the processor 2242 may use additional switching circuitry and/or sensors to measure other parameters associated with the emergency feedback system 2236. In some cases, emergency feedback system 2236 may include one or more interfaces that may include one or more devices for providing sensory feedback to the user. Such means may include, for example, visual feedback means such as a display screen and/or LED indicators. In some cases, such devices may include an audible feedback device, such as a speaker and/or buzzer. In some cases, such devices may include haptic feedback devices, such as haptic actuators. In some cases, such devices may include a combination of visual feedback devices, auditory feedback devices, and/or tactile feedback devices. In some instances, as shown in fig. 48, one or more interfaces may include a display 2250, which may be included in, for example, the handle assembly 2202. In some instances, the processor 2242 may use the display 2250 to alert, guide, and/or provide feedback to a user of the surgical instrument 2200 regarding manual arming of the surgical instrument 2200 using the arming component 2228.
in some cases, emergency feedback system 2236 may include one or more embedded applications implemented in firmware, software, hardware, or any combination thereof. In some cases, emergency feedback system 2236 may include various executable modules, such as software, programs, data, drivers, and/or Application Program Interfaces (APIs). Fig. 52 illustrates an exemplary module 2252 that may be stored, for example, in memory 2240. The module 2252 may be executed by the processor 2242, for example, to alert, guide a user of the surgical instrument 2200, and/or provide feedback thereto regarding manual arming of the surgical instrument 2200 using the arming component 2228.
as shown in fig. 52, a module 2252 may be executed by the processor 2242 to provide instructions to a user regarding how to access and/or use the bailout component 2228 to perform, for example, a manual bailout of the surgical instrument 2200. In various instances, the module 2252 may include one or more decision steps, such as a decision step 2254 regarding the detection of one or more errors requiring the performance of a manual emergency of the surgical instrument 2200.
In various instances, the processor 2242 may be configured to detect an emergency error in response to the occurrence of one or more intervention events, for example, during normal operation of the surgical instrument 2200. In some cases, processor 2242 may be configured to detect an emergency error when processor 2242 receives one or more emergency error signals; the emergency error signal may be communicated to the processor 2242 by, for example, other processors and/or sensors of the surgical instrument 2200. In some cases, for example, when the temperature of surgical instrument 2200 detected by a sensor (not shown) exceeds a threshold, an emergency error may be detected by processor 2242. In certain instances, the surgical instrument 2200 can include a positioning system (not shown) for sensing and recording the position of the longitudinally movable drive member 2226 during the firing stroke of the firing drive system 2214. In at least one example, processor 2242 may be configured to detect an emergency error, for example, when one or more recorded positions of longitudinally movable drive member 2226 are not in accordance with a predetermined threshold.
in any event, referring again to fig. 52, in decision step 2254, when processor 2242 detects an emergency error, processor 2242 may respond by, for example, shutting down and/or deactivating motor 2216. Further, in some cases, processor 2242 may also store the contingency status in memory 2240 after detecting the contingency error, as shown in fig. 52. In other words, processor 2242 may store a status in memory 2240 indicating that an imminent error has been detected. As described above, the memory 2240 may be a non-volatile memory that may maintain a stored state in which an emergency error has been detected when, for example, the user resets the surgical instrument 2200.
in various circumstances, the motor 2216 can be deactivated and/or deactivated by, for example, disconnecting the battery 2218 from the motor 2216. In various instances, the processor 2242 may employ a driver 2244 to shut down or deactivate the motor 2216. In some cases, when a motor override circuit is used, the processor 2242 may use the motor override circuit to shut down and/or deactivate the motor 2216. In some instances, shutting down and/or disabling the motor 2216 may prevent the user of the surgical instrument 2200 from using the motor 2216 at least until, for example, a manual emergency is performed. The reader will recognize that shutting down and/or disabling the motor 2216 in response to detecting an emergency error may be advantageous to protect tissue captured by the surgical instrument 2200.
In addition to the above, still referring to fig. 52, module 2252 may include a decision step 2256 for detecting whether the emergency door 2232 is removed. As described above, the processor 2242 may be operatively coupled to the emergency door feedback element 2246, which may be configured to alert the processor 2242 of information regarding whether the emergency door 2232 is removed. In some cases, the processor 2242 may be programmed to detect whether the panic door 2232 is removed, for example, when the panic door feedback element 2246 reports that the locking mechanism 2234 is unlocked. In some cases, the processor 2242 is programmed to detect whether the emergency door 2232 is removed, for example, when the emergency door feedback element 2246 reports that the emergency door 2232 is open. In some cases, the processor 2242 is programmed to detect whether the panic door 2232 is removed, for example, when the panic door feedback element 2246 reports that the locking mechanism 2234 is unlocked and the panic door 2232 is open.
In various circumstances, still referring to fig. 52, when the processor 2242 does not detect an emergency error in decision step 2254, and when the processor 2242 does not detect that the panic gate 2232 is removed in decision step 2256, the processor may not interrupt normal operation of the surgical instrument 2200 and may continue to operate using various clinical algorithms. In some cases, when the processor 2242 does not detect an emergency error in decision step 2254, but the processor 2242 detects that the emergency door 2232 is removed in decision step 2256, the processor may respond by shutting down and/or disabling the motor 2216 as described above. Further, in some cases, the processor 2242 may also provide instructions to the user regarding reinstallation of the emergency door 2232, as described in detail below. In some cases, when the processor 2242 detects that the emergency door 2232 has been reinstalled while an emergency error is not detected, the processor 2242 may be configured to reconnect the power source with the motor 2216 and enable the user to continue operating using the clinical algorithm, as shown in fig. 52.
in some instances, when the user does not reinstall the panic door 2232, the processor 2242 may not reconnect the power source with the motor 2216, but continues to provide instructions to the user regarding reinstalling the panic door 2232. In some instances, when the user does not reinstall the panic door 2232, the processor 2242 may provide a warning to the user that the panic door 2232 needs to be reinstalled in order to continue normal operation of the surgical instrument 2200. In some instances, the surgical instrument 2200 may be equipped with an override mechanism (not shown) to enable a user to reconnect the power source and the motor 2216 even if the panic door 2216 is not installed.
in various instances, the processor 2242 may be configured to provide sensory feedback to the user when the processor 2242 detects that the emergency door 2232 is removed. In various instances, the processor 2242 may be configured to provide sensory feedback to the user when the processor 2242 detects that the emergency door 2232 is being reinstalled. The processor 2242 may provide sensory feedback to the user using various means. Such means may include, for example, visual feedback means such as a display screen and/or LED indicators. In some cases, such devices may include an audible feedback device, such as a speaker and/or buzzer. In some cases, such devices may include haptic feedback devices, such as haptic actuators. In some cases, such devices may include a combination of visual feedback devices, auditory feedback devices, and/or tactile feedback devices. In some cases, the processor 2242 may employ the display 2250 to instruct the user to reinstall the emergency door 2232. For example, the processor 2242 may present the user with an image of the emergency gate 2232 and a warning symbol next to it, e.g., via the display 2250. In some cases, the processor 2242 may present an animated image that the emergency door 2232 has been installed, for example. Other images, symbols, and/or words may also be displayed via the display 2250 to alert the user of the surgical instrument 2200 to reinstall the emergency door 2232.
Referring again to fig. 52, when a panic error is detected, processor 2242 may signal the user of surgical instrument 2200 to perform a manual panic using panic handle 2230. In various instances, the processor 2242 may signal the user to perform a manual emergency, for example, by providing visual, audible, and/or tactile feedback to the user. In some cases, as shown in fig. 52, the processor 2242 may signal the user of the surgical instrument 2200 to perform a manual emergency by flashing a backlight of the display 2250. In any event, processor 2242 may then provide instructions to the user to perform a manual emergency. In various instances, as shown in fig. 52, these instructions may depend on whether a panic door 2232 is installed; decision step 2258 may determine the type of instruction provided to the user. In certain instances, when the processor 2242 detects that the panic door 2232 is installed, the processor 2242 may provide instructions to the user, for example, to remove the panic door 2232 and to operate the panic handle 2230. However, when the processor 2242 detects that the panic door 2232 is removed, the processor 2242 may provide instructions to the user, for example, to operate the panic handle 2230, but not to remove the panic door 2232.
Referring again to fig. 52, in various instances, instructions provided to the user by processor 2242 to remove the panic door 2232 and/or operate the panic handle 2230 may include one or more steps; these steps may be presented to the user in a chronological order. In some cases, these steps may include actions by the user. In these cases, the user may perform a manual contingency step by performing the actions shown in each step. In some cases, the actions required in one or more steps can be presented to the user, for example, in the form of animated images displayed on display 2250. In some cases, one or more steps can be presented to the user in the form of information, which may include words, signals, and/or images that guide the user in a manual emergency. In some cases, one or more steps for manual contingency may be incorporated, for example, in one or more pieces of information. In some cases, each information may, for example, comprise a separate step.
In some cases, the steps and/or information providing instructions for manual emergency may be presented to the user, for example, within a predetermined time interval, such that the user has sufficient time to act upon the steps and/or information. In some cases, processor 2242 may be programmed to continue presenting steps and/or information until processor 2242 receives feedback information that the step has been performed. In some cases, feedback may be provided to the processor 2242, for example, by the emergency door feedback element 2246. The processor 2242 may also use other mechanisms and/or sensors to obtain feedback that the step has been completed. In at least one example, the user may be instructed by the alert processor 2242 when the step is completed, for example, by pressing an alert button. In some cases, the display 2250 may include a capacitive screen that may provide an interface for a user to alert the processor 2242 when the step is complete. For example, after completing the current step, the user may press the capacitive screen to proceed with the next step of the manual panic command.
in some cases, as shown in fig. 52, upon detecting that the emergency door 2232 is installed, the processor 2242 may be configured to present an animated image 2260 of the hand moving toward the emergency door 2232 using the display 2250. The processor 2242 may continue to display the animated image 2260 for a period of time, such as a time interval sufficient for the user to contact the emergency gate 2232. In some cases, the processor 2242 may then replace the animated image 2260 with, for example, an animated image 2262 showing finger contact with the panic door locking mechanism 2234. The processor 2242 may continue to display the animated image 2262 for a period of time, such as a time interval sufficient for the user to unlock the locking mechanism 2234. In some cases, the processor 2242 may continue to display the animated image 2262 until, for example, the emergency door feedback element 2246 reports that the locking mechanism 2234 is unlocked. In some cases, processor 2242 may continue to display animated image 2262 until the user alerts processor 2242 that the step of unlocking locking mechanism 2234 has been completed.
In any case, the processor 2242 may then replace the animated image 2262 with, for example, an animated image 2264 that shows removal of the emergency gate 2232 with a finger. The processor 2242 may continue to display the animated image 2264 for a period of time, such as a time interval sufficient for the user to remove the emergency gate 2232. In some cases, the processor 2242 may continue to display the animated image 2264 until, for example, the emergency gate feedback element 2246 reports that the emergency gate 2232 is removed. In some cases, processor 2242 may continue to display animated images 2264 until, for example, the user alerts processor 2242 that the step of removing emergency door 2232 has been completed. In some cases, processor 2242 may be removably configured to continue to repeatedly display animated images 2260, 2262 and 2246 in their respective order as processor 2242 continuously detects that a panic door is installed in decision step 2258.
In addition to the above, upon detecting that the panic door 2232 is removed, the processor 2242 may proceed to direct the user to perform the steps of operating the panic handle 2230. In some cases, processor 2242 may replace animated image 2264 with, for example, animated image 2266 showing the finger lifting emergency handle 2230 into ratcheting engagement with teeth 2224 in drive member 2226 as described above. The processor 2242 may continue to display the animated image 2266 for a period of time, e.g., a time interval sufficient for the user to lift the emergency handle 2230. In some cases, the processor 2242 may continue to display the animated image 2266 until the processor receives feedback that the emergency handle 2230 has been lifted. For example, processor 2242 may continue to display animated image 2266 until the user alerts processor 2242 that the step of lifting emergency handle 2230 has been completed.
in certain instances, as described above, a user can manually retract drive member 2226, e.g., by retracting drive member 2226 in the proximal direction "P" using bailout handle 2230, e.g., to release tissue captured by end effector 2208. In that case, processor 2242 may replace animated image 2266 with an animated image 2268, for example, showing emergency handle 2230 being repeatedly pulled and then pushed with a finger to simulate retraction of emergency handle 2230. The processor 2242 may continue to display the animated image 2268 for a period of time, e.g., a time interval sufficient for the user to retract the drive member 2226 to the default position. In some cases, processor 2242 may continue to display animated images 2268 until processor 2242 receives feedback that drive members 2226 have been retracted.
Figure 53 illustrates a module 2270, which is similar in many respects to module 2258. For example, a module 2252 may also be stored in the memory 2240 and/or executed by the processor 2242, e.g., to alert, guide, and/or provide feedback to a user of the surgical instrument 2200 regarding manual arming of the surgical instrument 2200. In some instances, the surgical instrument 2200 may not include a panic door. In such cases, processor 2242 may use module 2270 to provide instructions to the user regarding, for example, how to operate emergency handle 2230.
referring again to block 2270 shown in fig. 53, when the processor 2242 does not detect an emergency error at decision step 2254 of block 2270, the processor 2242 may not interrupt the normal operation of the surgical instrument 2200 and may continue to operate using various clinical algorithms. However, when processor 2242 detects an emergency error in decision step 2254 of block 2270, processor 2242 may respond, for example, by shutting down and/or deactivating motor 2216. Further, in some cases, processor 2242 may also store the contingency status in memory 2240 after detecting the contingency error, as shown in fig. 53. In the absence of an emergency gate, the processor 2242 may signal the user of the surgical instrument 2200 to perform a manual emergency, for example by flashing a backlight of the display 2250; the processor 2242 may then proceed directly to provide instructions to the user to operate the emergency handle 2230, as described above.
The reader will appreciate that the steps shown in fig. 52 and/or 53 are exemplary embodiments of instructions that may be provided to a user of the surgical instrument 2200 for manual arming. Modules 2252 and/or 2270 may be configured to provide more or fewer steps than the modules illustrated in fig. 52 and 53. The reader will also recognize that modules 2252 and/or 2270 are exemplary modules; the processor 2242 may also execute various other modules to provide instructions to the user of the surgical instrument 2200 to make a manual emergency.
In various instances, as described above, the processor 2242 may be configured to present the user of the surgical instrument 2200 with steps and/or information to perform a manual emergency at predetermined time intervals. These time intervals may be the same or may be different depending on, for example, the complexity of the task being performed by the user. In some cases, these time intervals may be any time interval in the range of, for example, about 1 second to, for example, about 10 minutes. In some cases, these time intervals may be any time interval in the range of, for example, about 1 second to, for example, about 1 minute. Other time intervals are contemplated by the present disclosure.
in some cases, a power assembly (e.g., the power assembly 2006 shown in fig. 31-33A and 33B) is configured to monitor a number of uses of the power assembly 2006 and/or a surgical instrument 2000 coupled to the power assembly 2006. The power component 2006 maintains a usage cycle count corresponding to the number of uses. The power assembly 2006 and/or the surgical instrument 2000 perform one or more actions based on the usage cycle count. For example, in some cases, when the usage cycle count exceeds a predetermined usage limit, the power assembly 2006 and/or surgical instrument 2000 may deactivate the power assembly 2006, deactivate the surgical instrument 2000, which indicates that a repair or maintenance cycle needs to be performed, and provide the usage cycle count to an operator and/or remote system and/or perform any other suitable action. The usage cycle count is determined by a suitable system, such as a mechanical limiter, a usage cycle circuit, and/or any other suitable system coupled to the battery 2006 and/or the surgical instrument 2000.
fig. 54 illustrates one example of a power assembly 2400 that includes a usage cycle circuit 2402 configured to monitor a usage cycle count of the power assembly 2400. The power assembly 2400 may be coupled to a surgical instrument 2410. The usage cycling circuit 2402 includes a processor 2404 and a usage indicator 2406. The usage indicator 2406 is configured to provide a signal to the processor 2404 to indicate usage of the battery pack 2400 and/or a surgical instrument 2410 coupled to the power assembly 2400. The "use case" may include any suitable action, condition, and/or parameter, for example, changing modular components of the surgical instrument 2410, deploying or firing disposable components coupled to the surgical instrument 2410, delivering electrosurgical energy from the surgical instrument 2410, repairing the surgical instrument 2410 and/or the power assembly 2400, swapping the power assembly 2400, recharging the power assembly 2400, and/or exceeding safety limits of the surgical instrument 2410 and/or the battery pack 2400.
In some cases, the usage cycle or usage is defined by one or more power component 2400 parameters. For example, in one case, using the cycle includes using greater than 5% of the total energy available from power component 2400 when power component 2400 is at a full charge level. In another case, the usage cycle includes a continuous energy consumption from power assembly 2400 that exceeds a predetermined time limit. For example, a usage cycle may correspond to five minutes of continuous and/or total energy consumption from power component 2400. In some cases, power component 2400 includes a usage cycling circuit 2402 that has a continuous power consumption to keep one or more components of usage cycling circuit 2402, such as usage indicator 2406 and/or counter 2408, in an operational state.
Processor 2404 keeps using the cycle count. The usage cycle count indicates the number of uses of the power assembly 2400 and/or the surgical instrument 2410 detected by the usage indicator 2406. The processor 2404 may decrement and/or decrement the usage cycle count according to the increment from the usage indicator 2406. The cycle count is used to control one or more operations of the power assembly 2400 and/or the surgical instrument 2410. For example, in some cases, power component 2400 is disabled when the usage cycle count exceeds a predetermined usage limit. Although the cases described herein are discussed with respect to incrementing the usage cycle count beyond a predetermined usage limit, those skilled in the art will recognize that the usage cycle count may begin at some predetermined amount and may be decremented by the processor 2404. In this case, processor 2404 may enable and/or prevent one or more operations of power component 2400 when the usage cycle count falls below a predetermined usage limit.
the usage cycle count is maintained by counter 2408. Counter 2408 includes any suitable circuitry, such as a memory module, an analog counter, and/or any circuitry configured to maintain a usage cycle count. In some cases, counter 2408 is integrally formed with processor 2404. In other cases, counter 2408 includes a separate component, such as a solid state memory module. In some cases, the usage cycle count is provided to a remote system, such as a central database. The usage cycle count is transmitted by the communication module 2412 to the remote system. The communication module 2412 is configured to be capable of using any suitable communication medium, e.g., wired and/or wireless communication. In some cases, the communication module 2412 is configured to receive one or more instructions, such as control signals, from a remote system when the usage cycle count exceeds a predetermined usage limit.
in some cases, the usage indicator 2406 is configured to monitor the number of modular components used with the surgical instrument 2410 coupled to the power assembly 2400. The modular components may include, for example, a modular shaft, a modular end effector, and/or any other modular component. In some instances, the usage indicator 2406 monitors usage of one or more disposable components, such as insertion and/or deployment of a staple cartridge within an end effector coupled to the surgical instrument 2410. The usage indicator 2406 includes one or more sensors for detecting the exchange of one or more modular and/or disposable components of the surgical instrument 2410.
In some cases, use indicator 2406 is configured to monitor a single patient surgical procedure performed while power assembly 2400 is installed. For example, the use indicator 2406 may be configured to monitor the firing of the surgical instrument 2410 when the power assembly 2400 is coupled to the surgical instrument 2410. Firing may correspond to deployment of a staple cartridge, application of electrosurgical energy, and/or any other suitable surgical event. The usage indicator 2406 may include one or more circuits for measuring the number of firings when the power assembly 2400 has been installed. When a single patient procedure is performed, the use indicator 2406 provides a signal to the processor 2404, and the processor 2404 then increments the use cycle count.
in some cases, the usage indicator 2406 includes circuitry configured to monitor one or more parameters of the power source 2414 (e.g., the current drawn from the power source 2414). The one or more parameters of the power source 2414 correspond to one or more operations that may be performed by the surgical instrument 2410, such as cutting and stapling operations. Usage indicator 2406 provides one or more parameters to processor 2404, which increments a usage cycle count when the one or more parameters indicate that a procedure has been performed.
in some cases, usage indicator 2406 includes a timing circuit configured to increment a usage cycle count after a predetermined period of time. The predetermined time period corresponds to a single patient procedure time, i.e., the time required for the operator to perform a procedure (e.g., a cutting and stapling procedure). When the power assembly 2400 is coupled to the surgical instrument 2410, the processor 2404 polls the use indicator 2406 to determine whether the single patient procedure time has ended. Processor 2404 increments a usage cycle count if the predetermined time period has elapsed. After incrementing the usage cycle count, processor 2404 resets the timing circuit of user indicator 2406.
In some cases, use indicator 2406 includes a time constant that approximates the time of a single patient procedure. Fig. 55 shows an example of a power module 2500 that includes a usage cycle circuit 2502 with a resistor-capacitor (RC) timing circuit 2506. RC timing circuit 2506 includes a time constant defined by a resistor-capacitor pair. The time constant is defined by the values of resistor 2516 and capacitor 2518. When the power assembly 2500 is installed in a surgical instrument, the processor 2504 polls the RC timing circuit 2506. When one or more parameters of RC timing circuit 2506 are below a predetermined threshold, processor 2504 increments a usage cycle count. For example, the processor 2504 may poll the voltage of the capacitor 2518 of the resistor-capacitor pair 2506. When the voltage of the capacitor 2518 is below a predetermined threshold, the processor 2504 increments the usage cycle count. The processor 2504 may be coupled to the RC timing circuit 2506 by, for example, an A/D2520. After incrementing the usage cycle count, the processor 2504 turns on the transistor 2522 to connect the RC timing circuit 2506 to the power source 2514 to charge the capacitor 2518 of the RC timing circuit 2506. When capacitor 2518 is fully charged, transistor 2522 is turned off and RC timing circuit 2506 is discharged (as controlled by a time constant) to indicate a subsequent single patient procedure.
fig. 56 shows one example of a power assembly 2550 that includes a usage cycle circuit 2552 having a rechargeable battery 2564 and a clock 2560. When the power assembly 2550 is installed in a surgical instrument, the rechargeable battery 2564 is charged by the power source 2558. Rechargeable battery 2564 includes sufficient power to run clock 2560 for at least a single patient procedure time. Clock 2560 may include a real-time clock, a processor configured to enable timing functionality, or any other suitable timing circuitry. The processor 2554 receives a signal from the clock 2560 and increments the usage cycle count when the clock 2560 indicates that the single patient procedure time has been exceeded. After incrementing the usage cycle count, the processor 2554 resets the clock 2560. For example, in one case, the processor 2554 closes the transistor 2562, thereby recharging the rechargeable battery 2564. When the rechargeable battery 2564 is fully charged, the processor 2554 turns off the transistor 2562 and runs the clock 2560 when the rechargeable battery 2564 is discharged.
Referring back to fig. 54, in some cases, usage indicator 2406 includes a sensor configured to monitor one or more environmental conditions experienced by power assembly 2400. For example, usage indicator 2406 may include an accelerometer. The accelerometer is configured to monitor acceleration of the power assembly 2400. The power component 2400 has a maximum acceleration tolerance. An example of acceleration exceeding a predetermined threshold table is power component 2400 having been dropped. When the usage indicator 2406 detects that the acceleration exceeds the maximum acceleration tolerance, the processor 2404 increments the usage cycle count. In some cases, usage indicator 2406 includes a moisture sensor. The moisture sensor is configured to indicate when the power assembly 2400 has been exposed to moisture. The moisture sensor may include, for example, an immersion sensor configured to indicate when the power assembly 2400 has been fully immersed in the cleaning liquid, a moisture sensor configured to indicate when moisture is in contact with the power assembly 2400 during use, and/or any other suitable moisture sensor.
In some cases, usage indicator 2406 includes a chemical contact sensor. The chemical contact sensor is configured to indicate when the power assembly 2400 has been in contact with a hazardous and/or dangerous chemical. For example, during the sterilization process, unsuitable chemicals that cause degradation of power assembly 2400 may be used. When the usage indicator 2406 detects an unsuitable chemical, the processor 2404 increments the usage cycle count.
In some cases, usage cycling circuit 2402 is configured to monitor the number of repair cycles experienced by power assembly 2400. The repair cycle may include, for example, a cleaning cycle, a sterilization cycle, a charging cycle, routine and/or preventative maintenance, and/or any other suitable repair cycle. The usage indicator 2406 is configured to detect a repair cycle. For example, usage indicator 2406 may include a moisture sensor to detect cleaning and/or sterilization cycles. In some cases, the number of repair cycles experienced by power component 2400 is monitored using recirculation circuit 2402, and power component 2400 is disabled after the number of repair cycles exceeds a predetermined threshold.
Usage cycling circuit 2402 may be configured to monitor the number of times power assembly 2400 exchanges. The usage cycle circuit 2402 increments a usage cycle count each time the power component 2400 is swapped. When the maximum number of exchanges is exceeded, the power assembly 2400 and/or the surgical instrument 2410 are locked out using the recirculation circuit 2402. In some instances, when the power assembly 2400 is coupled to the surgical instrument 2410, the use of the recirculation circuit 2402 identifies the serial number of the power assembly 2400 and locks the power assembly 2400 such that the power assembly 2400 may only be used when coupled with the surgical instrument 2410. In some cases, the usage cycle circuit 2402 increments the usage cycle each time the power assembly 2400 is removed from and/or coupled to the surgical instrument 2410.
In some cases, the usage cycle count corresponds to sterilization of power assembly 2400. Usage indicator 2406 includes a sensor configured to detect one or more parameters of the sterilization cycle (e.g., a temperature parameter, a chemical parameter, a moisture parameter, and/or any other suitable parameter). When the sterilization parameters are detected, processor 2404 increments a usage cycle count. After a predetermined number of sterilizations, power assembly 2400 is deactivated using recirculation circuit 2402. In some cases, the usage cycle circuit 2402 is reset during a disinfection cycle, during a voltage sensor, and/or any suitable sensor detection recharge cycle. When a repair loop is detected, processor 2404 increments the usage loop count. When a sterilization cycle is detected, the usage cycle circuit 2402 is disabled. The usage cycling circuit 2402 is re-enabled and/or re-set when the power assembly 2400 is coupled to the surgical instrument 2410. In some cases, the usage indicator includes a zero power indicator. The zero power indicator changes state during the sterilization cycle and is checked by the processor 2404 when the power assembly 2400 is coupled to the surgical instrument 2410. When the zero power indicator indicates that a sterilization cycle has occurred, processor 2404 increments the usage cycle count.
Counter 2408 keeps a usage cycle count. In some cases, counter 2408 includes a non-volatile memory module. Each time a usage cycle is detected, processor 2404 increments a usage cycle count stored in the non-volatile memory module. The memory module may be accessed by the processor 2404 and/or control circuitry (e.g., control circuitry 1100). Processor 2404 deactivates power component 2400 when the usage cycle count exceeds a predetermined threshold. In some cases, the usage cycle count is maintained by a plurality of circuit components. For example, in one case, counter 2408 includes a bank of resistors (or fuses). After each use of the power assembly 2400, the resistors (or fuses) may be blown into an open position, thereby changing the resistance of the resistor bank. The power assembly 2400 and/or the surgical instrument 2410 read the remaining resistance values. When the last resistor of the resistor bank is burned out, the resistor bank has a predetermined resistance (e.g., an infinite resistance corresponding to an open circuit), which indicates that the power component 2400 has reached its usage limit. In some cases, the resistance of the resistor bank is used to derive the remaining number of uses.
In some cases, the usage cycle circuit 2402 prevents further use of the power assembly 2400 and/or the surgical instrument 2410 when the usage cycle count exceeds a predetermined usage limit. In one instance, a usage cycle count associated with the power assembly 2400 is provided to the operator, for example, using a screen integrally formed with the surgical instrument 2410. The surgical instrument 2410 provides an indication to the operator that the usage cycle count has exceeded a predetermined limit of the power assembly 2400 and prevents further operation of the surgical instrument 2410.
In some cases, usage cycle circuit 2402 is configured to physically prevent its operation when a predetermined usage limit is reached. For example, the power assembly 2400 may include a shroud configured to be deployed over contacts of the power assembly 2400 when the usage cycle count exceeds a predetermined usage limit. The shroud prevents recharging and use of the power assembly 2400 by covering the electrical connections of the power assembly 2400.
In some cases, the usage cycle circuit 2402 is located at least partially within the surgical instrument 2410 and is configured to maintain a usage cycle count for the surgical instrument 2410. Fig. 54 illustrates in phantom one or more components within the surgical instrument 2410 that use a recirculation circuit 2402, the phantom lines also illustrating alternate locations for using the recirculation circuit 2402. The usage cycle circuit 2402 deactivates and/or prevents operation of the surgical instrument 2410 when a predetermined usage limit of the surgical instrument 2410 is exceeded. When the usage indicator 2406 detects a particular event and/or requirement (e.g., firing of the surgical instrument 2410, a predetermined time period corresponding to a single patient procedure time), the usage cycle circuit 2402 increments the usage cycle count according to one or more motor parameters of the surgical instrument 2410 in response to the system diagnostics indicating that one or more predetermined thresholds have been reached and/or that any other suitable requirement has been met. As discussed above, in some cases, the use indicator 2406 includes a timing circuit corresponding to a single patient procedure time. In other instances, the usage indicator 2406 includes one or more sensors configured to detect particular events and/or conditions of the surgical instrument 2410.
In some cases, the usage cycle circuit 2402 is configured to prevent use of the surgical instrument 2410 after a predetermined usage limit is reached. In some instances, the surgical instrument 2410 includes a visual indicator to indicate when a predetermined usage limit has been reached and/or exceeded. For example, a marking (such as a red marking) may be ejected from the surgical instrument 2410 (such as from the handle) providing a visual indication to the operator that the surgical instrument 2410 has exceeded a predetermined use limit. As another example, the usage cycle circuit 2402 can be coupled to a display that is integrally formed with the surgical instrument 2410. The usage cycle circuit 2402 displays information indicating that a predetermined usage limit has been exceeded. The surgical instrument 2410 may provide an audible indication to the operator that a predetermined usage limit has been exceeded. For example, in one instance, when a predetermined limit of use is exceeded, the surgical instrument 2410 emits an audible tone and the power assembly 2400 is then removed from the surgical instrument 2410. The audible tone indicates the last use of the surgical instrument 2410 and indicates that the surgical instrument 2410 should be discarded or repaired.
In some cases, the usage cycle circuit 2402 is configured to transmit a usage cycle count of the surgical instrument 2410 to a remote location, e.g., a central database. The usage cycle circuit 2402 includes a communication module 2412 configured to transmit the usage cycle count to a remote location. The communication module 2412 may utilize any suitable communication system, such as a wired and/or wireless communication system. The remote location may include a central database configured to maintain usage information. In some instances, when the power assembly 2400 is coupled to the surgical instrument 2410, the power assembly 2400 records a serial number of the surgical instrument 2410. For example, when the power assembly 2400 is coupled to a charger, the serial number is transmitted to a central database. In some cases, the central database maintains a count corresponding to each use of the surgical instrument 2410. For example, each time the surgical instrument 2410 is used, a barcode associated with the surgical instrument 2410 may be scanned. When the usage count exceeds a predetermined usage limit, the central database provides a signal to the surgical instrument 2410 indicating that the surgical instrument 2410 should be discarded.
The surgical instrument 2410 can be configured to lock and/or prevent operation of the surgical instrument 2410 when the usage cycle count exceeds a predetermined usage limit. In some cases, the surgical instrument 2410 comprises a disposable instrument and is discarded after the usage cycle count exceeds a predetermined usage limit. In other instances, the surgical instrument 2410 comprises a reusable surgical instrument that can be reconditioned after a usage cycle count exceeds a predetermined usage limit. After reaching the predetermined use limit, the surgical instrument 2410 triggers reversible occlusion. The technician repairs the surgical instrument 2410 and releases the lockout, for example, using a technical key configured to reset the usage cycle circuit 2402.
In some cases, power assembly 2400 is charged and sterilized simultaneously prior to use. Fig. 57 illustrates one example of a combined sanitizing and charging system 2600 configured to simultaneously charge and sanitize a battery 2602; the combined sanitizing and charging system 2600 includes a sanitizing chamber 2604. A battery 2602 is disposed within the sterilization chamber 2604. In some cases, the battery 2602 is coupled to a surgical instrument. The charging cable 2606 is installed through a wall 2608 of the sterilization chamber 2604. The wall 2608 is sealed around the charging cable 2606 to maintain a sterile environment within the sterilization chamber 2604 during sterilization. The charging cable 2606 includes a first end configured to couple to the power assembly 2602 within the sterilization chamber 2604 and a second end configured to couple to a battery charger 2610 located outside of the sterilization chamber 2604. Because the charging cable 2606 passes through the walls 2608 of the sterilization chamber 2604 while maintaining a sterile environment within the sterilization chamber 2604, the power assembly 2602 can be charged and sterilized at the same time.
The charging profile imposed by the battery charger 2610 is configured to match the sterilization cycle of the sterilization chamber 2604. For example, in one instance, the sterilization process time is about 28 to 38 minutes. The battery charger 2610 is configured to provide a charging profile for charging the battery during the disinfection process time. In some cases, the charging profile may extend during a cooling period after the sterilization process. The charging profile may be adjusted by the battery charger 2610 based on feedback from the power assembly 2602 and/or the sterilization chamber 2604. For example, in one instance, sensor 2612 is located within sterilization chamber 2604. Sensor 2612 is configured to monitor one or more characteristics of sterilization chamber 2604, such as chemicals present in sterilization chamber 2604, the temperature of sterilization chamber 2604, and/or any other suitable characteristics of sterilization chamber 2604. The sensor 2612 is coupled to a battery charger 2610 by a cable 2614 that extends through a wall 2608 of the sterilization chamber 2604. The cable 2614 is sealed so that the sterilization chamber 2604 can maintain a sterile environment. The battery charger 2610 adjusts the charging profile based on feedback from the sensor 2614. For example, in one instance, the battery charger 2610 receives temperature data from the sensor 2612 and adjusts the charging profile when the temperature of the sterilization chamber 2604 and/or the power assembly 2602 exceeds a predetermined temperature. As another example, battery charger 2610 receives chemical composition information from sensor 2612 and on a chemical (e.g., H)2O2) Power assembly 2602 is prevented from charging when the explosion limit is approached.
Fig. 58 illustrates one example of a combined sanitizing and charging system 2650 configured for a power module 2652 having a battery charger 2660 integrally formed therein. An Alternating Current (AC) source 2666 is located outside of the sterilization chamber 2654 and is coupled to a battery charger 2660 by an AC cable 2656 mounted through a wall 2658 of the sterilization chamber 2654. The wall 2658 around the AC cable 2656 is sealed. The operation of the battery charger 2660 is similar to the battery charger 2610 shown in fig. 57. In some cases, the battery charger 2660 receives feedback from a sensor 2662 located within the sterilization chamber 2654 and coupled to the battery charger 2660 by a cable 2664.
in various instances, the surgical system may include a magnet and a sensor. In combination, the magnet and the sensor can cooperate to detect various conditions of the fastener cartridge, such as the presence of the fastener cartridge in an end effector of the surgical instrument, the type of fastener cartridge loaded in the end effector, and/or the firing status of the loaded fastener cartridge. Referring now to fig. 62, jaws 902 of end effector 900 can include, for example, magnets 910, and fastener cartridge 920 can include, for example, sensors 930. In various instances, the magnet 910 can be positioned at the distal end 906 of the elongate channel 904 which is sized and configured to receive the fastener cartridge 920. Further, the sensor 930 can be at least partially embedded or retained in, for example, a distal end 926 of the nose 924 of the fastener cartridge 920. In various instances, the sensor 924 can be in signal communication with a microcontroller of the surgical instrument.
In various instances, when the fastener cartridge 920 is positioned in the elongate channel 904 of the jaw 902, the sensor 930 can detect the presence or absence of the magnet 910. The sensor 930 can detect, for example, that the fastener cartridge 920 is improperly positioned in the elongate channel 904 and/or is not loaded into the elongate channel 904, and can communicate the cartridge loading status to, for example, a microcontroller of the surgical system. In certain instances, the magnet 910 can be positioned, for example, in the fastener cartridge 920, and the sensor 930 can be positioned, for example, in the end effector 900. In various circumstances, sensor 930 can detect the type of fastener cartridge 920 loaded in end effector 900. For example, different types of fastener cartridges can have different magnetic arrangements, such as different layouts, different polarities, and/or different magnetic field strengths relative to the cartridge body or other cartridge components. In such instances, the sensor 930 can detect the type of cartridge positioned in the jaws 902, such as the cartridge length, the number of fasteners, and/or the fastener height, based on the detected magnetic field signal. Additionally or alternatively, the sensor 930 can detect whether the fastener cartridge 920 is properly seated in the end effector 900. For example, the end effector 900 and the fastener cartridge 920 can include a plurality of magnets and/or a plurality of sensors, and in some instances, one or more sensors can detect whether the fastener cartridge 920 is properly positioned and/or aligned, e.g., based on the position of the plurality of magnets relative to the one or more sensors.
Referring now to fig. 63, in some instances, end effector 3000 may include a plurality of magnets and a plurality of sensors. For example, the jaws 3002 may include a plurality of magnets 3010,3012 positioned at a distal end 3006 thereof. Further, the fastener cartridge 3020 can include a plurality of sensors 3030,3032 positioned, for example, at the distal end 3026 of the nose 3024. In some instances, the sensor 3030,3032 can detect the presence of the fastener cartridge 3020 in the elongate channel 3004 of the jaw 3002. In various instances, the sensor 3030,3032 may include, for example, a hall effect sensor. Various sensors are described in U.S. patent 8,210,411 entitled "MOTOR-driving MOTOR braking actuation system" filed on 23.9.2008. U.S. patent 8,210,411 entitled "MOTOR-DRIVEN SURGICAL CUTTING INSTRUMENT" filed on 23.9.2008 is hereby incorporated by reference in its entirety. The addition of one or more additional sensors may, for example, provide a larger broadband signal, which may provide additional and/or improved information to the microcontroller of the surgical instrument. Additionally or alternatively, additional sensors can determine, for example, whether the fastener cartridge 3020 is properly seated in the elongate channel of the jaw 3002.
In various circumstances, the magnet can be positioned on a movable component of the fastener cartridge. For example, the magnet can be positioned on a component of the fastener cartridge that moves during the firing stroke. In such instances, a sensor in the end effector can detect the firing status of the fastener cartridge. For example, referring now to fig. 64, a magnet 3130 can be positioned on slide 3122 of fastener cartridge 3120. Further, the sensor 1110 may be positioned in the jaws 3102 of the end effector 3100. In various circumstances, the sled 3122 can translate during the firing stroke. Further, in some instances, the sled 3120 can remain at the distal end of the fastener cartridge 3120 after a firing stroke. In other words, the sled 3120 can remain at the distal end of the fastener cartridge 3120 after the cartridge has been fired. Thus, sensor 3110 can detect the position of magnet 3130 and corresponding sled 3120 to determine whether fastener cartridge 3120 is in a fired state. For example, the fastener cartridge 3120 can be, e.g., unfired and cocked when sensor 3110 detects magnet 3130 in a proximal position, while the fastener cartridge 3120 can be, e.g., depleted when sensor 3110 detects magnet 3130 in a distal position. Referring now to fig. 65, in various instances, jaws 3202 of end effector 3200 can include a plurality of sensors 3210,3212. For example, the proximal sensor 3212 may be positioned in a proximal portion of the jaw 3202, while the distal sensor 3210 may be positioned in a distal portion of the jaw 3202, for example. In such instances, sensor 3210,3212 can detect the position of sled 3122, for example, as sled 3122 moves during the firing stroke. In various instances, the sensor 3210,3212 may include, for example, a hall effect sensor.
Additionally or alternatively, the end effector can include a plurality of electrical contacts that can detect the presence and/or firing of the fastener cartridge. Referring now to fig. 66, the end effector 3300 can comprise jaws 3302 that define a channel 3304 configured to receive the fastener cartridge 3320. In various instances, the jaws 3302 and the fastener cartridge 3320 can comprise electrical contacts. For example, the elongate channel 3304 may define a bottom surface 3306 and the electrical contact 3310 may be positioned on the bottom surface 3306. In various instances, a plurality of electrical contacts 3310 may be defined in the elongate channel 3304. The electrical contacts 3310 may form part of a firing status circuit 3340 that may be in signal communication with a microcontroller of the surgical system. For example, the electrical contacts 3310 may be electrically coupled to and/or in communication with a power source, and may form, for example, an electrically active end of an open circuit. In some cases, one of the electrical contacts 3310 may be powered such that a voltage potential develops in the middle of the electrical contact 3310. In some cases, one of the contacts may be coupled to an output channel of, for example, a microprocessor, which may apply a voltage potential to the contact. The other contact may be coupled to an input channel of a microprocessor, for example. In some cases, the electrical contacts 3310 may be insulated from the frame 3306 of the jaws 3302. Still referring to fig. 66, the fastener cartridge 3320 can also include, for example, an electrical contact 3330 or a plurality of electrical contacts. In various circumstances, the electrical contact 3330 can be positioned on a movable element of the fastener cartridge 3320. For example, the electrical contact 3330 can be positioned on the sled 3322 of the fastener cartridge 3320 such that the electrical contact 3330 can move within the fastener cartridge 3320 during a firing stroke.
in various instances, the electrical contact 3330 can include, for example, a metal bar or plate on the slider 3320. The electrical contacts 3330 in the fastener cartridge 3320 can mate with one or more electrical contacts 3310 in the end effector 3300, for example. In some instances, the electrical contact 3330 may contact the one or more electrical contacts 3310 when the slider 3322 is positioned in a particular position or range of positions in the fastener cartridge 3320. For example, the electrical contact 3330 can contact the electrical contact 3310 when the sled 3322 is unfired and thus positioned in a proximal position of the fastener cartridge 3320. In such cases, the electrical contacts 3330 may close the electrical circuit, for example, between the electrical contacts 3310. In addition, the firing status circuit 3340 can communicate a closed circuit (i.e., unfired cartridge) indication to a microcontroller of the surgical system. In such instances, electrical contact 3330 can, for example, be out of electrical contact with electrical contact 3310 as sled 3322 is fired distally during the firing stroke. Thus, the firing status circuit 3340 can communicate an open circuit (i.e., fired cartridge) indication to the microcontroller of the surgical system. In some cases, the microcontroller only initiates the firing stroke when, for example, the firing status circuit 3340 indicates an unspent cartridge. In various instances, the electrical contact 3330 can include an electromechanical fuse. In such circumstances, the fuse may open or short circuit, for example, when the slider 3322 is fired through the firing stroke.
additionally or alternatively, referring now to fig. 67, the end effector 3400 can comprise jaws 3402 and a cartridge presence circuit 3440. In various instances, the jaw 3402 can include an electrical contact 3410 or a plurality of electrical contacts 3410, such as in the elongate channel 3404 thereof. Additionally, the fastener cartridge 3420 can include an electrical contact 3430 or a plurality of electrical contacts 3430 on an outer surface of the fastener cartridge 3420. In various instances, the electrical contacts 3430 can be positioned and/or mounted on a stationary or stationary component, such as the fastener cartridge 3420. In various circumstances, the electrical contacts 3430 of the fastener cartridge 3420 can contact the electrical contacts 3410 of the end effector 3400, for example, when the fastener cartridge 3420 is loaded into the elongate channel 3404. The cartridge presence circuit 3440 can be, for example, an open circuit prior to placement of the fastener cartridge 3420 in the elongate channel 3404. When the fastener cartridge 3420 is properly seated in the jaw 3402, the electrical contacts 3410 and 3430 may form a closed cartridge presence circuit 3440. Where the jaws 3402 and/or fastener cartridge 3420 comprise a plurality of electrical contacts 3410, 3430, the cartridge presence circuit 3440 can comprise a plurality of circuits. Further, in certain instances, the cartridge presence circuit 3440 can identify the cartridge type loaded in the jaws 3402 based on, for example, the number and/or arrangement of electrical contacts 3430 on the fastener cartridge 3420 and the corresponding open and/or closed circuit, for example, the cartridge presence circuit 3440.
Further, the electrical contacts 3410 in the jaws 3402 can be in signal communication with a microcontroller of the surgical system. The electrical contacts 3410 can be connected to a power source, for example, and/or can communicate with a microcontroller, for example, via a wired and/or wireless connection. In various circumstances, the cartridge presence circuit 3440 can communicate the presence or absence of a cartridge to a microcontroller of the surgical system. In various circumstances, the firing stroke can be prevented, for example, when the cartridge presence circuit 3440 indicates that a fastener cartridge is present in the end effector jaw 3402. Further, when the cartridge present circuit 3440 indicates that a fastener cartridge 3420 is present in the end effector jaw 3402, the firing stroke may be allowed.
As described throughout this disclosure, various sensors, procedures, and circuits may detect and measure various characteristics of a surgical instrument and/or components thereof, surgical use or operation, and/or tissue and/or operation site. For example, the surgical instrument may detect tissue thickness, identification of instrument components, use and feedback data from surgical functions, and error or fault indications. In some instances, the fastener cartridge can include a non-volatile memory unit that can be, for example, embedded or removably coupled to the fastener cartridge. Such a non-volatile memory unit may be in signal communication with the microcontroller via hardware (such as the electrical contacts described herein), radio frequency, or various other suitable forms of data transmission. In such a case, the microcontroller can transmit data and feedback to a non-volatile memory unit in the fastener cartridge so that the fastener cartridge can store information. In various cases, the information may be securely stored and access thereto may be limited to match and be appropriate for a particular situation.
In certain instances, the non-volatile memory unit can include information regarding the fastener cartridge characteristics and/or its compatibility with various other components of the modular surgical system. For example, the non-volatile memory unit can provide compatibility information to a microcontroller of the surgical system when the fastener cartridge is loaded into the end effector. In such cases, the microcontroller may verify the effectiveness or compatibility of the modular components. For example, the microcontroller can confirm that the handle component can fire the fastener cartridge, and/or that the fastener cartridge is properly mated with, for example, an end effector. In some cases, the microcontroller may communicate compatibility or lack thereof to an operator of the surgical system and/or may prevent surgical function, for example, when the modular components are incompatible.
As described herein, a surgical instrument can include a sensor that can cooperate with a magnet to detect various characteristics, operations, and surgical sites of the surgical instrument. In some cases, the sensor may comprise a hall effect sensor, and in other cases, the sensor may comprise a magnetoresistive sensor, as shown, for example, in fig. 68A-68C. As detailed herein, a surgical end effector can comprise a first jaw and a second jaw, wherein the first jaw can be configured to receive a fastener cartridge. The first jaw and/or fastener cartridge can include, for example, a magnetic element (such as a permanent magnet), and the second jaw can include, for example, a magnetoresistive sensor. In other instances, the first jaw and/or fastener cartridge can comprise, for example, a magnetoresistive sensor, and the second jaw can comprise a magnetic element. The magnetoresistive sensor can have characteristics such as those listed in the table of fig. 68C and/or similar specifications, for example. In some cases, resistance changes caused by movement of the magnetic element relative to the magnetoresistive sensor may affect and/or alter the characteristics of a magnetic circuit such as that shown in FIG. 68B.
In various circumstances, the magnetoresistive sensor can detect the position of the magnetic element and, thus, the thickness of tissue clamped, for example, between the opposing first and second jaws. The magnetoresistive sensor may be in signal communication with the microcontroller, and the magnetoresistive sensor may wirelessly transmit data to, for example, an antenna in signal communication with the microcontroller. In various instances, the passive circuit may include a magnetoresistive sensor. Further, an antenna may be positioned in the end effector and may detect a wireless signal, for example, from a magnetoresistive sensor and/or a microprocessor operably coupled to the sensor. In such cases, exposed electrical connections between, for example, an end effector comprising an antenna and, for example, a fastener cartridge comprising a magnetoresistive sensor, can be avoided. Further, in various instances, the antenna may be in limited and/or wireless communication with a microcontroller of the surgical instrument.
the tissue may contain a fluid, and when the tissue is compressed, the fluid may be forced out of the compressed tissue. For example, when tissue is clamped between opposing jaws of a surgical end effector, fluid can flow and/or be expelled from the clamped tissue. The flow or expulsion of fluid in the clamped tissue may depend on various characteristics of the tissue (such as the thickness and/or type of tissue) and, for example, various characteristics of the surgical procedure (such as the desired tissue compression and/or elapsed clamping time). In various circumstances, the expulsion of fluid between the opposing jaws of the end effector can cause the staples formed between the opposing jaws to deform. For example, expulsion of fluid during and/or after staple formation can induce bending and/or other uncontrolled movement of the staple, thereby deviating from its desired or intended formation. Thus, in various circumstances, it may be advantageous to control the firing stroke, e.g., control the firing speed, based on detecting fluid flow or lack thereof intermediate opposing jaws of the surgical end effector.
In various instances, fluid expulsion from the clamped tissue can be determined or estimated by various measurable and/or detectable tissue properties. For example, the degree of tissue compression may correspond to the degree of fluid expulsion from the clamped tissue. In various instances, for example, a higher degree of tissue compression may correspond to more fluid flow, while a lower degree of tissue compression may correspond to less fluid flow, for example. In various circumstances, a sensor positioned in the jaws of the end effector can detect the force applied to the jaws by the compressed tissue. Additionally or alternatively, a sensor on or operably associated with the cutting element can detect an electrical resistance on the cutting element as the cutting element is advanced through and transects the clamped tissue. In such a case, the detected cutting and/or firing resistance may correspond to a degree of tissue compression. When the degree of tissue compression is high, for example, the cutting element resistance may be greater, and when the degree of tissue compression is low, for example, the cutting element resistance may decrease. Correspondingly, the cutting element resistance may be indicative of fluid displacement.
In some cases, fluid expulsion from the clamped tissue may be determined or estimated by the force required to fire the cutting element (i.e., the firing force). The firing force may correspond to, for example, a cutting element resistance. Further, the firing force may be measured or estimated by a microcontroller in signal communication with an electric motor that drives the cutting element. For example, where the cutting element resistance is high, the electric motor may require a large current to drive the cutting element through the tissue. Similarly, if the cutting element resistance is low, the electric motor may require less current to drive the cutting element through the tissue. In such cases, the microcontroller may determine the amount of current consumed by the electric motor during the firing stroke. For example, the microcontroller may include a current sensor that can detect, for example, the current used to fire the cutting element through the tissue.
Referring now to fig. 60, a surgical instrument assembly or system can be configured to detect compressive forces in clamped tissue. For example, in various circumstances, an electric motor may drive the firing element, and a microcontroller may be in signal communication with the electric motor. When the electric motor drives the firing element, the microcontroller may determine, for example, the current consumed by the electric motor. In such cases, as described above, the firing force may correspond to the current drawn by the electric motor throughout the firing stroke. Still referring to fig. 60, at step 3501, the microcontroller of the surgical instrument may determine whether the current drawn by the electric motor during the firing stroke increased, and if so, may calculate the percent increase in current.
in various circumstances, the microcontroller may compare the current consumption increment during the firing stroke to a predefined threshold. For example, the predefined threshold may be 5%, 10%, 25%, 50%, and/or 100%, for example, and the microcontroller may compare the current increment detected during the firing stroke to the predefined threshold. In other cases, the threshold increment may be a value or range of values between 5% and 100%, and in other cases, the threshold increment may be, for example, less than 5% or greater than 100%. For example, if the predefined threshold is 50%, the microcontroller may compare the current consumption change percentage to, for example, 50%. In some cases, the microcontroller may determine whether the current drawn by the electric motor during the firing stroke exceeds a maximum current or some percentage of a baseline value. For example, the microcontroller may determine whether the current exceeds 5%, 10%, 25%, 50%, and/or 100% of the maximum motor current. In other cases, the microcontroller may compare the current drawn by the electric motor during the firing stroke to, for example, a predefined baseline value.
In various circumstances, the microcontroller may utilize an algorithm to determine the change in current drawn by the electric motor during the firing stroke. For example, a current sensor may detect the current drawn by the electric motor at different times and/or intervals during the firing stroke. The current sensor may continuously detect the current consumed by the electric motor and/or may intermittently detect the current consumed by the electric motor. In each case, the algorithm may compare the most recent current reading to, for example, the immediate current reading. Additionally or alternatively, the algorithm may compare the sample reading X over the time period X to a previous current reading. For example, the algorithm may compare the sample reading to, for example, a sample reading within a previous time period X (such as an immediately subsequent time period X). In other cases, the algorithm may calculate an average of the current trend consumed by the motor. The algorithm may calculate the average current consumed during time period X (including, for example, the latest current reading) and may compare the average current consumed with, for example, the average current consumed during the immediately subsequent time period X.
still referring to FIG. 60, if the microcontroller detects that the current increment is greater than the threshold change or threshold value, the microcontroller may proceed to step 3503 and the firing speed of the firing element may be reduced. For example, the microcontroller may communicate with the electric motor to slow the firing speed of the firing element. For example, the firing speed may be reduced by a predefined step unit and/or a predefined percentage. In various instances, the microcontroller may include a speed control module that may affect changes in the cutting element speed and/or may maintain the cutting element speed. The speed control module may include, for example, a resistor, a variable resistor, a pulse width modulation circuit, and/or a frequency adjustment circuit. Still referring to FIG. 60, if the current increment is less than the threshold, the microcontroller may proceed to step 3505 wherein the firing speed of the firing element may be maintained, for example. In various circumstances, the microcontroller may continue to monitor the current drawn by the electric motor and its changes that occur during at least a portion of the firing stroke. In addition, the microcontroller and/or its speed control module may adjust the firing element speed throughout the firing stroke based on the detected current draw. In such cases, controlling the firing speed based on, for example, approximate fluid flow or expulsion from the clamped tissue can reduce the probability of staple deformation in the clamped tissue.
referring now to FIG. 61, in various circumstances, the microcontroller can adjust the firing element speed by pausing the firing element for a predefined period of time. For example, similar to the embodiment shown in fig. 60, if the microcontroller detects that the current draw exceeds a predefined threshold at step 3511, the microcontroller can proceed to step 3513 and the firing element can be paused. For example, if the current increment measured by the microcontroller exceeds a threshold, the microcontroller may pause the motion and/or translation of the firing element for one second. In other cases, the firing stroke may be paused, for example, for less than one second and/or more than one second. Similar to the process described above, if the current draw increment is less than the threshold, the microcontroller may proceed to step 3515 and the firing element may continue to advance through the firing stroke without adjusting the speed of the firing element. In certain instances, the microcontroller may be configured to pause and slow the firing element during the firing stroke. For example, the firing element may be paused for a first increment of current draw, while the speed of the firing element may be decreased for a second, different increment of current draw. In other cases, the microcontroller may command an increase in firing element speed if the current draw decreases below, for example, a threshold.
The complete disclosures of the following patents are hereby incorporated by reference:
U.S. patent 5,403,312 entitled "ELECTROSURURGICAL HEMOSTATIC DEVICE" published on 4.4.1995;
U.S. patent 7,000,818 entitled "SURGICAL STAPLING INSTRUMENT HAVING SEPARATE DISTINCT CLOSING AND FIRING SYSTEMS" published on 21.2.2006;
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According to various embodiments, the surgical instruments described herein may include one or more processors (e.g., microprocessors, microcontrollers) coupled to various sensors. In addition, storage (having operating logic) and a communication interface are coupled to one or more processors.
The processor may be configured to execute the operating logic. The processor may be any of a number of single-core or multi-core processors known in the art. The storage device may include volatile and non-volatile storage media configured to store permanent and temporary (working) copies of the operating logic.
In various embodiments, the operating logic may be configured to process the collected biometric data associated with the user's athletic data, as described above. In various embodiments, the operating logic may be configured to perform initial processing and transmit data to a computer hosting the application to determine and generate instructions. For these embodiments, the operating logic may be further configured to receive information from the hosted computer and provide feedback thereto. In alternative embodiments, the operating logic may be configured to play a more important role in receiving information and determining feedback. In either case, whether determined independently or in response to instructions from a hosted computer, the operating logic may be further configured to control and provide feedback to the user.
In various embodiments, the operating logic may be implemented by instructions supported by the Instruction Set Architecture (ISA) of the processor, or in a higher-level language, and compiled into a supported ISA. The operational logic may include one or more logical units or modules. The operational logic may be implemented in an object-oriented manner. The operating logic may be configured to be executable in a multitasking manner and/or a multithreading manner. In other embodiments, the operational logic may be implemented in hardware (such as a gate array).
In various embodiments, the communication interface may be configured to facilitate communication between the peripheral device and the computing system. The communication may include transmitting the collected biometric data associated with the position, the gesture, and/or the motion data of the user's body part to a host computer, and transmitting data associated with the haptic feedback from the host computer to the peripheral device. In various embodiments, the communication interface may be a wired or wireless communication interface. Examples of wired communication interfaces may include, but are not limited to, a Universal Serial Bus (USB) interface. Examples of wireless communication interfaces may include, but are not limited to, a bluetooth interface.
For various embodiments, a processor may be packaged with operating logic. In various embodiments, a processor may be packaged together with operating logic to form a System In Package (SiP). In various embodiments, the processors may be integrated with the operating logic on the same die. In various embodiments, a processor may be packaged with operating logic to form a system on a chip (SoC).
Various embodiments may be described herein in the general context of computer-executable instructions, such as software, program modules, and/or engines being executed by a processor. Generally, software, program modules, and/or engines include any software elements arranged to perform particular operations or implement particular abstract data types. Software, program modules, and/or engines may include routines, programs, objects, components, data structures, etc. that perform particular tasks or implement particular abstract data types. Specific implementations of software, program modules, and/or engine components and techniques may be stored on and/or transmitted across some form of computer readable media. In this regard, computer readable media can be any available media that can be used to store information and that can be accessed by a computing device. Some embodiments may also be practiced in distributed computing environments where operations are performed by one or more remote processing devices that are linked through a communications network. In a distributed computing environment, software, program modules, and/or engines may be located in both local and remote computer storage media including memory storage devices. A memory, such as a Random Access Memory (RAM) or other dynamic storage device, may be employed to store information and instructions to be executed by the processor. The memory may also be used for storing temporary variables or other intermediate information during execution of instructions to be executed by the processor.
while some embodiments may be illustrated and described as comprising functional components, software, engines, and/or modules performing various operations, it should be appreciated that such components or modules may be implemented by one or more hardware components, software components, and/or combinations thereof. The functional components, software, engines, and/or modules may be implemented by, for example, logic (e.g., instructions, data, and/or code) to be executed by a logic device (e.g., a processor). Such logic may be stored internally or externally to a logic device on one or more types of computer-readable storage media. In other embodiments, functional components such as software, engines, and/or modules may be implemented by hardware elements that may include processors, microprocessors, circuits, circuit elements (e.g., transistors, resistors, capacitors, inductors, and so forth), integrated circuits, Application Specific Integrated Circuits (ASICs), Programmable Logic Devices (PLDs), Digital Signal Processors (DSPs), Field Programmable Gate Arrays (FPGAs), logic gates, registers, semiconductor device, chips, microchips, chip sets, and so forth.
Examples of software, engines, and/or modules may include software components, programs, applications, computer programs, application programs, system programs, machine programs, operating system software, middleware, firmware, software modules, routines, subroutines, functions, methods, procedures, software interfaces, application interfaces (API), instruction sets, computing code, computer code, code segments, computer code segments, words, values, symbols, or any combination thereof. Determining whether an embodiment is implemented using hardware elements and/or software elements may vary in accordance with any number of factors, such as desired computational rate, power levels, thermal tolerances, processing cycle budget, input data rates, output data rates, memory resources, data bus speeds and other design or performance constraints.
one or more of the modules described herein may include one or more embedded applications implemented as firmware, software, hardware, or any combination thereof. One or more of the modules described herein may include various executable modules such as software, programs, data, drivers, Application Program Interfaces (APIs), and so forth. The firmware may be stored in memory of the controller 2016 and/or 2022, which may include non-volatile memory (NVM), such as bit-mask read-only memory (ROM) or flash memory. In various implementations, storing firmware in ROM may protect flash memory. Non-volatile memory (NVM) may include other types of memory including, for example, Programmable ROM (PROM), Erasable Programmable ROM (EPROM), Electrically Erasable Programmable ROM (EEPROM), or battery backed Random Access Memory (RAM), such as Dynamic RAM (DRAM), double data rate DRAM (DDRAM), and/or Synchronous DRAM (SDRAM).
In some cases, various embodiments may be implemented as an article of manufacture. The article of manufacture may comprise a computer-readable storage medium arranged to store logic, instructions, and/or data for performing various operations of one or more embodiments. In various embodiments, the article of manufacture may comprise, for example, a magnetic disk, optical disk, flash memory, or firmware, each containing computer program instructions adapted to be executed by a general-purpose or special-purpose processor. However, the embodiments are not limited thereto.
The functions of the various functional elements, logic blocks, modules, and circuit elements described in connection with the embodiments disclosed herein may be implemented in the general context of computer-executable instructions, such as software, control modules, logic, and/or logic modules, being executed by a processing unit. Generally, software, control modules, logic, and/or logic modules include any software elements arranged to perform particular operations. Software, control modules, logic, and/or logic modules may include routines, programs, objects, components, data structures, etc. that perform particular tasks or implement particular abstract data types. Implementations of software, control modules, logic, and/or logic modules and techniques may be stored on and/or transmitted across some form of computer readable media. In this regard, computer readable media can be any available media that can be used to store information and that can be accessed by a computing device. Some embodiments may also be practiced in distributed computing environments where operations are performed by one or more remote processing devices that are linked through a communications network. In a distributed computing environment, software, control modules, logic, and/or logic modules may be located in both local and remote computer storage media including memory storage devices.
further, it is to be understood that the embodiments described herein set forth example implementations, and that the functional elements, logic blocks, modules, and circuit elements may be implemented in various other ways consistent with the described embodiments. Further, operations performed by such functional elements, logic blocks, modules, and circuit elements may be combined and/or separated for a given implementation and may be performed by a greater or lesser number of components or modules. As will be apparent to those of skill in the art upon reading this disclosure, each of the individual embodiments described and illustrated herein has discrete components and features which may be readily separated from or combined with the features of any of the other several aspects without departing from the scope of the present disclosure. Any described method may be performed in the order of events described, or in any other logically possible order.
It is worthy to note that any reference to "one embodiment" or "an embodiment" means that a particular feature, structure, or characteristic described in connection with the embodiment is included in at least one embodiment. The appearances of the phrase "in one embodiment" or "in one aspect" in various places in the specification are not necessarily all referring to the same embodiment.
Unless specifically stated otherwise, it may be appreciated that terms such as "processing," "computing," "calculating," "determining," or the like, refer to the action and/or processes of a computer or computing system, or similar electronic computing device, such as a general purpose processor, a DSP, an ASIC, an FPGA or other programmable logic device, discrete gate or transistor logic, discrete hardware components, or any combination thereof, that is designed to perform the functions described herein, manipulate and/or transform data represented as physical quantities (e.g., electronic) within registers and/or memories into other data similarly represented as physical quantities within the memories, registers or other such information storage, transmission or display devices.
It is worthy to note that some embodiments may be described using the expression "coupled" and "connected" along with their derivatives. These terms are not intended as synonyms for each other. For example, some embodiments may be described using the terms "connected" and/or "coupled" to indicate that two or more elements are in direct physical or electrical contact with each other. However, the term "coupled" may also mean that two or more elements are not in direct contact with each other, but yet cooperate or interact with each other. In terms of software elements, for example, the term "coupled" may refer to an interface, a message interface, an Application Program Interface (API), an exchange of messages, and the like.
It should be understood that any patent, publication, or other disclosure material, in whole or in part, that is said to be incorporated by reference herein is incorporated herein only to the extent that the incorporated material does not conflict with existing definitions, statements, or other disclosure material set forth in this disclosure. Accordingly, and to the extent necessary, the disclosure as explicitly set forth herein supersedes any conflicting material incorporated herein by reference. Any material, or portion thereof, that is said to be incorporated by reference herein, but which conflicts with existing definitions, statements, or other disclosure material set forth herein is only incorporated to the extent that no conflict arises between that incorporated material and the existing disclosure material.
the disclosed embodiments of the present invention have application to conventional endoscopic and open surgical instruments as well as to robotic-assisted surgery.
Embodiments of the devices disclosed herein can be designed to be disposed of after a single use, or they can be designed for multiple uses. In either or both of the above cases, the embodiments may be reconditioned for reuse after at least one use. The repair may include any combination of the following steps: disassembly of the device, followed by cleaning or replacement of particular parts and subsequent reassembly. In particular, embodiments of the device may be disassembled, and any number of the particular pieces or parts of the device may be selectively replaced or removed in any combination. Upon cleaning and/or replacement of particular components, embodiments of the device may be reassembled for subsequent use either at a reconditioning facility, or by a surgical team immediately prior to a surgical procedure. Those skilled in the art will appreciate that device reconditioning can utilize a variety of techniques for disassembly, cleaning/replacement, and reassembly. The use of these techniques and the resulting reconditioned device are all within the scope of the present application.
By way of example only, embodiments described herein may be processed prior to surgery. First, new or used instruments may be obtained and cleaned as needed. The instrument may then be sterilized. In one sterilization technique, the instrument is placed in a closed and sealed container, such as a plastic or TYVEK bag. The container and instrument may then be placed in a field of radiation that can penetrate the container, such as gamma radiation, X-rays, or high-energy electrons. The radiation may kill bacteria on the instrument and in the container. The sterilized instrument may then be stored in a sterile container. Sealing the container may maintain the instrument in a sterile state until the container is opened in a medical facility. The device may also be sterilized using any other technique known in the art, including but not limited to beta or gamma radiation, ethylene oxide, or steam.
Those skilled in the art will recognize that the components (e.g., operations), devices, objects, and their accompanying discussion described herein are for conceptual clarity purposes only and that various configuration modifications are contemplated. Thus, as used herein, the specific examples set forth and the accompanying discussion are intended to be representative of their more general categories. In general, the use of any particular example is intended to be representative of its class, and non-included portions of particular components (e.g., operations), devices, and objects should not be taken to be limiting.
With respect to substantially any plural and/or singular terms used herein, those having skill in the art can translate from the plural to the singular and/or from the singular to the plural as is appropriate to the context and/or application. Various singular/plural permutations are not expressly set forth herein for the sake of clarity.
The subject matter described herein sometimes sets forth different components contained within or connected with different other components. It is to be understood that such depicted architectures are merely examples, and that in fact many other architectures can be implemented which achieve the same functionality. In a conceptual sense, any arrangement of components to achieve the same functionality is effectively "associated" such that the desired functionality is achieved. Hence, any two components herein combined to achieve a particular functionality can be seen as "associated with" each other such that the desired functionality is achieved, irrespective of architectures or intermedial components. Likewise, any two components so associated can also be viewed as being "operably connected," or "operably coupled," to each other to achieve the desired functionality, and any two components capable of being so associated can also be viewed as being "operably couplable," to each other to achieve the desired functionality. Specific examples of operably couplable include, but are not limited to, physically mateable and/or physically interactive components, and/or wirelessly interactable and/or wirelessly interactive components, and/or logically interactable and/or logically interactive components.
Some aspects may be described using the expression "coupled" and "connected" along with their derivatives. It should be understood that these terms are not intended as synonyms for each other. For example, some aspects may be described using the term "connected" to indicate that two or more elements are in direct physical or electrical contact with each other. In another example, some aspects may be described using the term "coupled" to indicate that two or more elements are in direct physical or electrical contact. However, the term "coupled" may also mean that two or more elements are not in direct contact with each other, but yet cooperate or interact with each other.
In some instances, one or more components may be referred to herein as "configured to," "configurable to," "operable/operable," "adapted/adapted," "able," "adapted/adapted," or the like. One skilled in the art will recognize that "configured to" may generally encompass components in an active state and/or components in an inactive state and/or components in a standby state unless the context indicates otherwise.
While particular aspects of the present subject matter described herein have been shown and described, it will be obvious to those skilled in the art that, based upon the teachings herein, changes and modifications may be made without departing from the subject matter described herein, and it is intended to cover in its broader aspects and, therefore, the appended claims all such changes and modifications as are within the true scope of the subject matter described herein. It will be understood by those within the art that, in general, terms used herein, and especially in the appended claims (e.g., bodies of the appended claims) are generally intended as "open" terms (e.g., the term "including" should be interpreted as "including but not limited to," the term "having" should be interpreted as "having at least," the term "includes" should be interpreted as "includes but is not limited to," etc.). It will be further understood by those within the art that when a specific number of an introduced claim recitation is intended, such an intent will be explicitly recited in the claim, and in the absence of such recitation no such intent is present. For example, as an aid to understanding, the following appended claims may contain usage of the introductory phrases "at least one" and "one or more" to introduce claim recitations. However, the use of such phrases should not be construed to imply that the introduction of a claim recitation by the indefinite articles "a" or "an" limits any particular claim containing such introduced claim recitation to claims containing only one such recitation, even when the same claim includes the introductory phrases "one or more" or "at least one" and indefinite articles such as "a" or "an" (e.g., "a" and/or "an" should typically be interpreted to mean "at least one" or "one or more"); this also applies to the use of definite articles used to introduce claim recitations.
In addition, even when a specific number of an introduced claim recitation is explicitly recited, those skilled in the art will recognize that such recitation should typically be interpreted to mean at least the recited number (e.g., the bare recitation of "two recitations," without other modifiers, typically means at least two recitations, or two or more recitations). Further, in those instances where a convention analogous to "at least one of A, B and C, etc." is used, in general such a construction is intended to have a meaning that one of ordinary skill in the art would understand the convention (e.g., "a system having at least one of A, B and C" would include, but not be limited to, systems having a alone, B alone, C, A and B together alone, a and C together, B and C together, and/or A, B and C together, etc.). In those instances where a convention analogous to "A, B or at least one of C, etc." is used, in general such a construction is intended to have a meaning that one of skill in the art would understand the convention (e.g., "a system having at least one of A, B or C" would include, but not be limited to, systems having a alone, B alone, C, A and B together alone, a and C together, B and C together, and/or A, B and C together, etc.). It will also be understood by those within the art that, in general, disjunctive words and/or phrases having two or more alternative terms, whether appearing in the detailed description, claims, or drawings, should be understood to encompass the possibility of including one of the terms, either of the terms, or both terms, unless the context indicates otherwise. For example, the phrase "a or B" will generally be understood to include the possibility of "a" or "B" or "a and B".
Those skilled in the art will appreciate from the appended claims that the operations listed therein can generally be performed in any order. In addition, while the various operational flows are listed in a certain order, it should be understood that the various operations may be performed in an order other than that shown, or may be performed simultaneously. Unless the context dictates otherwise, examples of such alternative orderings may include overlapping, interleaved, interrupted, reordered, incremental, preliminary, supplemental, simultaneous, reverse, or other altered orderings. Furthermore, unless the context dictates otherwise, terms like "responsive," "related," or other past adjectives are generally not intended to exclude such variations.
In summary, a number of benefits have been described that result from employing the concepts described herein. The foregoing description of one or more embodiments has been presented for purposes of illustration and description. The description is not intended to be exhaustive or to limit the invention to the precise form disclosed. Modifications or variations are possible in light of the above teachings. The embodiment or embodiments selected and described are intended to illustrate the principles and practical use of the invention, to thereby enable one of ordinary skill in the art to utilize the invention in various embodiments and with various modifications as are suited to the particular use contemplated. The claims as filed herewith are intended to define the full scope.